Rajasthan act 025 of 2008 : The RAJASTHAN PARA.MEDICAL COUNCIL

RAJASTIIAn- GAZETTE Extraordinarv

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RAJASTHAN PARA.MEDICAL COUNCIL

NOTIFICATION

Jaipur, August 25r2015 G.S.R. 78 :- In exercise of the power5. confeped by sub- section(3) of section 42 of the Rajasthan Para-medical Council Act, 2008 (Act No. 25 of 2008), the Rajasthan Para-Medical Council, with the approval of the State Government hereby makes the.following regulations further to amend the Rajasthan Para- medical Council Regulations, 2014, namely:-

1. Short title and commencement.- (1) These regulations may be called the Rajasthan Para-medical Council (Amendment) Regulations, 20 1 5.

(2) They shall come into force with immediate effect.

2. Substitution of regulation 41.- The existing regulation 41 of the Rajasthan Para- Medical Council Regulation,2014,here in after referred to as the said regulations, shall be substituted by the following, namely:-

t

"41. Courses and Syllabus.- (1) The Council may allow

f.

I given below. The Council may include more courses with the prior

permission of the State Government.

TABLE

s. Name of Course

Duration Eligibility

N

o.

I

Diploma in Medical 2 Years l0+2(Sciencesubject) Laboratory Technolosy

2. Diploma in Radiation 2 Years

l0+2(Sciencesubject) Technologv

Technology

1

4.

Diploma

in Dentalttygi"rr. 2 Years + l0 (Science Z subjecf i j J.

(2) The sylrabus for the Diploma courses mentioned in sub-above, ;;p;n.o i"ici"aJ":i ,;l:?:?J,::,(1) 'hdr;"

(3) The Council time, urn::g or modify ?tany syllabus ^uy, of any ,T"TX,',::*; :iffj;ffi ::'FJ'vluuu,'h;iil':rr;tiverrom 3' Amendment- of reguration 44- rnreguration said 44 regurations, 0f the for trt. ,,schedure-21,,, expression "*"1ffi?pr"rrion the "Schedule_I6,, shal U. iuf,rrirrr.a.

4. Amendmenr of regutation i:._ sub.regulation rpguration (t) of45 0f :, the said exesiting 1dil;, expression"Schedule- ,,scheiulefo_ r_the 21,, the , expression I 6,, shal b. ,ibrtitut.O.5. Amendment of regutation i!- reguration (l) of47 0f lrsub_regulation the said ,h. exesiting 1.Srr"ri"rr,io, expression "Schedule-2r", the expressio-n "s.tr"ouie-t 6,, shar ue sriustituteo. 6. Amendmenr. or regulaii"n sr.- Th; regulation ffiting sub_ (l) of regurarion ;i;iil said regurations substituted shalr be by the foilowing, nu*r]u,'_'"(1) The minimum quurinr?tiil'riirorirrion para_medical to the Diploma Courses ,tutt U.- 3*f.*i..ondry (10+2) (including Science any sub category of science subject) with minimum 45

2

?Tr-rr 4 (rI) {-aKqrq q[q-rl-{, 3rq-ffi 25, 2011-----1-2]19) percent marks in aggregate. Minimum aggregate marks, for^the bandidates belonging to Scheduled Castes, Scheduled Tribes, Backward Class or Special Backward Class shall be 40 percent. Allotment of students shall be made on the basis of marks obtained in 10+2 examination. Preference in admission shall be given to bonafide residents of Rajasthan."

7. Amendment of regulation 52.-^In regulation 52 of the said regulations,-

(iifne exsting sub-regulation (1), shall be substituted by the following, namelY:-

"(1) Every Para-medical institutions seeking recognition must have infrastructure facilities as specified in reg'ulation 53."

(ii) in sub-regulation (2), for^the exesiting expression

"schedule-21", the expression "Schedule-16" shal^be substituted.

(iii) in sub-regulation (6),^{for the} exesiting expression

"Schedule-21", the expression "Schedule-l6" shal^be -

' substituted.

8. Substitution of regulation 53.- The exsting regulation⁵³ of^the said regulations shall be substituted by^the following, namely:-

"53. Infrastructure in Institutions.- (l ) For recognition of a Para-medical institution under these regulations, the institute must have the tbllowing infrastructure facilities, namely:^-

A. Physical FacilitY:

(i) Building^- Institute shall have preferably its own building. Wh"r.ur to start institute with a rented building, permission^may be granted for a period of maximum 5 years on submission of regiitered rent agreement. But for permanent recognition^own bultding shall be essential. Standard minimum requirement for one course with 25 students shall be as under:-

S.

Description Area No

PrincipalOffice (l) 200 so. ft

2. Office Facilities

300 so. ft Number of Class Rooms ! 450 sq. ft each

Q)

4 Number of Labs (l 450 sq. ft each

5 Library (l) 700 sq. ft

3

121(q\ _ 450 sq. ftJ

. Toilet 6.

for girls Common in Facilities minimum | 50 sq. ftI r Toilet for boys in minimum SO sq. ft t" :oo'q r:,*++:"-i":q&let.t' ---..----.-Jullrclent 7.

Transportation number of vehicles Faci Iities regtlildjrs per sanctioned seats8.

@r@-

9.

sports Facilities

DesGbC-(ii) l Lre(l

cated space ofq000 Sq.

ft. area pe. niplorn.a c""rs. f", 25seats is essential.

(iii) If sanctioned seats are above 25 (up to 50),_ (a) Number of crass rootn rlquired w'r,be two but the ctass room shtutd be minilu,riooo sq. "teach ffl

(b) Number of Lab required will be one only but thearea of Lab should be minimum 600 a; ;;(iv) If sanctioned seats are above 50, the number of crass roomsand Labs will increase proportionately. B. Library Facititie:

Qualification Full Time/part

Principat ,'Molvrsun,1eBsru, rvrst witir s

FullTime s4perience as facultv l_Isgl vtoAaS4vtgBs or MSC witl.r

erlinrndpart Para Medical subject or BSC in

time VisitingPara Medical Subject wirh 4 Technician

ified in the

FullTime

NOTE:

(i) Students Teachers Ratio _ should be t0:l(ii) Principal and technicians *ili" .""nted in teaching facurty (ii) Minimum required facurtf fo.";; course wil be 03 D. Clinical Facititv:

The q) Institute should have own Hospital/ Lab. (ii) The HospitauLab poilution shoulJ il#^ contror Board certificate, clinical Estabrishm* a.t registration and other essential ricenses required trom uuriou. departments - underprevalent Act, Rules and Regulations.

4

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(iii) Required clinical facilities are as under:-

Name of course

uired Clinical Facilities I Diploma in Medical Applicants own lab with minimum :-

Laboratory 50 Pathological Examinations conducted per Technology day

50 Biochemistry Examinations conducted per day

50 Microbiology Examinations conducted per day

Diploma in Radiation Applicants own diagnostic centre in which Technolosy minimum 50 X-Rays per day are conducted Diploma in Dental

Applicants own centre where 50 patients are Mechanic Technology treated daily Diploma in Dental

Applicants own centre where 50 patients are Hygiene Technolosv treated daily

5.

Diploma in Operation

Applicants own minimum 50 Bed Hospital Ibgqler-Ieellelqel

with facility of Ceneral Surserv.

6. Diploma in Dialysis Applicants own minimum 50 Bed Hospital Technoloev

with Nafrology Department.

7.

Diploma in Applicants own minimum 50 Bed Hospital Qrthopedic with Orthopadic Department Technology

Diploma in ECG

Applicants own minimum 50 Bed Hospital Technology with General Medicine Deoartment Diploma in Blood Applicants own Blood Bank Bank Teclrnology

12.)

Diploma in Cath Lab Applicants own minimum 50 Bed Hospital

I

--+

Technology ^I_r11t!Q4rc!!q! ggl D erertrn e n t.

13. Diploma in -l Applicants o*n minirnurn SO Bed Horpttal Emergency and

with Trauma Department Trauma Care

Technolosv

4

Diplorna in Opthalmic Applicants own minimum'10 Bed Hospital Technolosv

with Eye Department

5. Diploma in Perfusion

Applicants own minimum 50 Bed Hospital Technolqgy with C.T. Surgery facility (iv)Hospital/Lab should have modern machine and equiprnents. (v)Distance of Institute from HospitallLab shall be,- maximum 25 Km. from city with population above l0 lakh, and

tzt(a) maximum 10 Km. from city with population up to 10 Lakh. E. Equipments and rnstruments: (l)Equipments and instruments required for various Diploma courses shall be as specified in Schedule-l 7 to Schedule-3 1.

(2) Infrastructure facilities should be made available at the time of inspection for physical verification."

9. Substitution of regulation 54.- The existing regulation 54 of the said regulations shall be substituted by the following, namely:-

"54. Fees.- The fees payable in respect of all matters and proceedings provided for in these regulations shall be such as specified in Schedule-l 6."

10. Substitution of Form-4.- The existing Form 4 appended to the said regulations shall be substituted by the following, namely: -

ttForm-4

[See regulation 52 (2) & (3)]

To

- The Registrar The Rajasthan paramedical council Jaipur (Rajasthan)

Subject - Application for permission to start para Medical Course. ... fName

of the Courses).

Herewith we are submitting our application for permission to start ...(name

of the courses). Details of information required are _

1. Name of the Institution

2. Name of the Chairperson/S ecretary

3. Name of the Society/Trust/ Companyipartnership Firm/Individual (copy of relevant documents attested by the notary to be attached)

4. Address of the Institution where para medical course will run

6

qrr + (q) _ No'. ... . .. : .' ,' ..... !, Slnarate budget allocated t" p;";;;i."ic""rr", audited expenditure d;;;

yearstatement enclosed). 9' parhmedical course, courses) "oo,*lfflii,"."r. mention names of the ro Numbe,"i,;;;;;q;iili;;;;;;i;;t I I . Other.Educational.Instituiions*r.iy.,fr.^:

l2.Name.of.the.Cours-e_s.S.:Orr"*iig.in.the^m.c^aoⁿll^ae^gg^ee ment . . . . . . .^{. .}

13. PHYSICAL F'ACILITIES;. building with 4000 fft"Ti:"^sq. t. area wise distribution is given tandavaila@

@ob"en.loreii

Whether the inititution has own

BuildinB.

(i)Blueprintoffi

(ii) If rented "cleed then rent registered by sub-regisrrar for os yearJrnouiJ be attached.

Principal Office

QEce Facilities NumberofClass@

Area in sq. feet feet

Numberof@

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8 Lib Area in sq. feet

9.

Common facilities in sq. feet

14. LIBRARY FACILITIES:-

Amount

15. CLINICAL FACILITIES:-

Nanie of the Own HospitallLab Annexure No. of Beds distribution

Annexure Proof of the Hospital/Lab being own

Annexure Ueqp!te!4eb_ Pollution Control Board certificate

Annexure Clinical Establishment Act registration certificate

Distance of hospital from Para-medical Institution in KM

16. TEACHING FACILITIES:-

Proposed names of teaching personnel (consent letters to be Required Teaching Staff documents :-

1. Appointment letter.

2. Joining report / consent letter

3. Educational qualification Certificate .

4. Past Experience letter, Appointment letter & Reliving letter.

5. ID Proof

8

17. LIST OF NON. TECHING STAFF:

I 8.Intructional (instruments)facilities available.

(Institute must have own equipment)

19. D. D. of Rs. 30000/- in favour of Registrar, Rajasthan para- medical Council payable at Jaipur of any nationalized bank or challan or transaction number and ID if paid through

. online, for recognition fee per course.

20. D.D. of Rs. 5000/- in favour of Registrar, Rajasthan para- medical Council, payablq at Jaipur of.any nationalized bank or challan or transaction number and ID if paid

. through online, for Application Fee.

21. Any Other information. We request you kindly to arrange for Inspection at your earliest. Thanking You

Yours faithfullv

Date:

Authorised Signatory

List of Annexures

With name, complete address, - Mobile no. and email.

DECLARATION

(On 20 rupees non judicial stamp) I............... ...............S1o,DloorWo. declare that all the documents & information submitted in this application form are true to the best of my knowledge. I understand that if any, of the information is found wrong, my application will stand cancelled. I will abide by the rules.& regulations in force in Rajasthan Paramedical Council and as amended from time to time. Date:

Place:

(Signature of the Applicant)

Name of the Applicant

Seal of the Institution"

9

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11. Substitution of Form 5.- The existing Form 5 appended to the said regulations shall be substituted by the following, namely:

"Form-S [see regulationS2(5)l Inspection Report To

The Registrar

Rajasthan Para medical council Jaipur, Rajasthan

;

Subject:- Inspection report Reference:- Your letter number. . . . . . . . . . . . Dated. In reference to the above sighted letter I have inspected the institution and my report is as under-

1. Date of the Inspection

2. Name of the Institution

3. Name of the Chairperson/Secretary

4. Name of the society/Trust/Company

5. Complete address where para medical course will run.

6. Name of the Principal/Dean/HOD with qualification

7. Name of the courses applied for and requested annual admissions.

Name of the Course

Number of Seats

8.

Other courses running in the same premises

9.

Physical Facilities are available as per norns (please sign in Yes or No column only):-

200 sq.^ft

2.

Office Facilities 300 sq. ft

10

a Number of Class Rooms (2)

450 sq. ft each

4.

( N u um _ ber - o _ f Labs 450 sq. ft each

5.

700 sq. ft 450 sq. ft

" Toilet for girls in minimum 50 sq. Common ft

6.

Facilities .* Toilet for boys in minimum 50 sq. ft

" Common room for girls in 300 sq. ft

Transportation Sufficient number of vehicles required Facilities as per sanctioned seats

Boys and

8. Girls Hostel Desirable

9.

Sports Facilities Desirable v

10. Library Facilities a.re available as per norms (mention yes or No)

I t.

Name of Own Hospital/Lab

Proof of the Hospital/Lab beins Ow;

Beds distribution

Pqllution Control Board certificaG

Clqfcql Establishment Reeistration

Distance of Institute from Hospiti7Lab in rc.tvt. Course wise clinical facilities

Details of clinical facilities available

facilities are as per Norms YesA,lo

12. Teachi

Facilities ava i t lable: -

S.

Name of Qualification

Teaching

Date of Part No. the faculty Experience

Joining

time/Full time

11

Qt(tz) =_-grynq q[q-q-d, ertfK zs, zots tTrtl^{+ (tl)} Teaching facilitY is as P6r Norms

rry

13. Required EquiPments as per norms are available (Right only Yes or No)

(Purchase bills of the equipments should be verified by the inspector)

14. Videography of required infrastructure facility done in^mY presence and Video CD is enclosed'

15. Any other information (No recommendation to be given) Signature^and

Name of the inspector

Date:

Place:

12. Substitution of Schedule L to 41.- Existing schedule^{1 to} 4lappended to the said regulations shall be substituted by^the following, namelY:^-

"Schedule-l ' [See regulation 41(2)l Syllabus of Diploma in Medical Laboratory Technology

FIRST YEAR

Subject^-1. Communication skills in English.

2. Computer aPPlication.

3. AnatomY and PhYsiologY.

4. Hematology and blood banking.

5. Clinical pathologY'

6. Clinical Practical training. 7.^MLT Instruments Practice Lab -^1. Hospital:^- Industrial training⁽⁴ weeks) in summer vacation Theory classes - Monday to Friday - thrs/day - Total 5hrs/week Rest of the time students do practical in their respective sections according to Posting schedule

Examination Pattern - Internal/ Sessional exam - Taken^on completion of course '

CPT - 1 (ML16) -200 Marks

Practical -200 marks, 3hrs, Practical exercises and related theory question

Exercises^are -

Hb- gm% TLC/TRBC

12

PBF - preparation, staining

DLC

ESR

Reticulocyte count H&E staining

MGG

. StainingSpecirnen mounting Records - prepared by students 200 mark3 are distributed among the given exercises. practicals are 35.n according to the provided syllabus

Time for cPT and MLT not rp..ifi.d for sessionar examination MLT - l(MLl7) - 100 r Marki lt is Viva on instruments e from different section Viva to be taken at 2 places in board examination Pattern - A-Histopathology & Cytology_ 50 Marks

B - Hematology & Blood nanking _ 50 Marks

Theory - Theory exam of 100 marks

Practical -

CIT 1. (MLl6)

. - 400 Marks (For 3hrs) pr.actical exercise rblated^andtheory questions

Exefcises are -

Hb- gm%;o

TLCITRBC

PBF - Preparation, staining

DLC

ESR

Reticulocyte count H&E staining

MGG Stainins

Specimen mounting Records - prepared by students 400 marks are distributed among the given MLT- exercises. l(MLl7)-50

o Marks It is Viva on instruments

o from different section Viva to be taken at 2 places A - Histopathology & Cytology _ 25 Marks

B - Hematology & Blood Banking _ 25 Marks

Hospital Industrial Training

o Duration - 4weeks in summer vacation

:- Yd: are given out of 100 at the end of training Marks distribution is as follow

OPD

Blood

Record I Viva

Total I Rating

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Excellent ->7sYo

Good- 60-75%

Average - 45-60%

Poor - <4504

Rating is grading - Done on^o/o of total Marks obtained out of -

100

SECOND YEAR

Subject 1.

Entrepreneurship & Professional management.

2.

Environmental Studies.

3.

Microbiology including parasitology and immunology.

4. Pathology.

5. Biochemistry.

6. Clinical practical training - II.

7. MLT Instrume.nts Practice Lab - II. Hospital/ Industrial training (4 Weeks) in summer vacation Theory Classes - Monday to Friday - thrs/day - Total 5hrs/week Rest of the time students do practical in their respective sections according to posting schedule

Examination Pattern - Intemal/ Sessional exam - Taken on completion of course

66 - Pathology

67- Microbiology

34 - Pathology (it is viva on instrument same as MLT^_100 i taken for l't year DMLT)

(N:L27) 33- Microbiology

33 Biochemi Exercises are - Histopathology- - Tissue processing block making, section cutting and routine H&E staining

- Different types of special staining in histopathology - Preparation of fixatives

14

Q1(15\ - Preparation of stains for sections and smears - Paraffin embedding of tissues - Preparation of paraffin blocks - Honing of microtome ftvors _ preparation Microtomy of sections - Frozen section _ tpihniques Demonstration - Preparation and fixation of r..*, for cytology - - Hematoxylin and cosin staining a. - Papanicuolu's stainins - Some.of the special stlains - Mounting museum specimen - Records keeping Hematology

- Hb-gm%

- TLC/TRBC

preparation, - - staining l|f - DLC

- Urine examination

- Bleeding and clotting time - Interpretation of clot retraction -. Prothrombin time, APTT and TT - Fibrinogen degradation product ffOpl - Substitution tests for factor identifiIation

prepared Records by - students : rractrcar examination is taken according to provided sylrabus. Time for examination for intern"icpiilo MLT not specified.Theory examination pathol of _ rui#o, 100 Marks Practical (o"tpracttGitet I i 1 l::h"tf _ CPT II 133 Microbiology

(ML-26) 133 Biochemistrv -

400marks

Jg.P*h"t:ey(o@I7 Microbiology

l7 Biochemi

Rating

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(2s\ (zs) fl00) Excellent -t1S% Good- 60-75% Average - 45-60% Katrng Poor lis grading _ - <4|yo oon if;t"r

SECOND YEAR

Subject -

l. Entrepreneurship&professional management.

2. Environmental

3. Studies. Microbiologyincludin!parasitology and immunology.

1 pathology. ). Biochemistrv.

9 .CIt practical training^_ "t II. Ho spitar/ rndustriar t,u,fn, n,,-KTili,iTilHn Lab :,'fiffi - rr. Theory Classes - Mgnday io'nriaay I'lhrsld,ay_ Rest of the time Total student.;o p;;;;i;l 5hrs/week in

according their respective to posting sectionsschedule

Examination pattern - Intemar/ Sessional

completion exam of course - Taken on

CPT _ II (NIL26

-200 Marks 66 - Pathology- 67- Microbiology ,O - tu*o,o. l1k1n-.for ts, year DMLT)33- Microbioiosv

33 Biochemistri' Exercises are - Histopathology- - Tissue processing block making section H&E cutting staining ^and routine - Different

- types of special stainingPreparation of fixatives^e i-n-- histopathology

16

121(15 - Preparation of stains for sections and smears - Paraffin embeddrng of tissues - P_reparation ofparaffin Uto.ks - Honing of microtome razors - Microtomy _ preparation of sections -' Frozen section tecfrniques _ O._Jnrourron - Preparation and nxatiln or##;, cyrotogy - Hematoxylin and.ori*rruini;;:'", papanicuolu,s - staining-""s'u'ts' - the special gf stlins .t,o." - ruountlng museum specimen - Records keepins-c Hematology-

- Hb-gm%

- TLC/TRBC

- _ preparation,

staining lpf - DLC

- Urine examination - Bleeding and clotting time - Interpretationofctot'retraltion

- rime, APTT flothrombin *J if- Fibrinogen deeradario";.;;;irori - Substitution te-sts f". f#;;;;,liiu,ion

Records _ prepared

Uy : rtuA.il"',^."

Practi cat exami naii o",: t+;;;;;ding to provided Time for syl tabus. examination fb, in;;;;i;;i: MLT Theory yto not specified e*amination pcrh^r^^...^r- ti i e n d'ati on of r Pathor gy o :ffi A;" or ffi ,ilr"ct iil:flJi"m CPT_II

iiiff:nffi(IVIL-26) _ 133 Biochemistil, 40Omarks

MLT-il rggj 3$essional : cPr rattralat=o- marks

iiff'lHfm rfltr enq olOPD Blood Bank Record

Viva Total Rating \2s) Qs)

ps) (100) Qs)

17

ta(o) imery qrq-qr, eT.r -^trt ^,-^5,- ,015 qlq_f_$ Excellent ->7sYo

Good - 60-75%

I Average - 45-60%

Poor - <45%o

p Rating is grading - Dbne on^o% of total Marks obtained out of -

100

1tt Year Svllabus Blood Banking :

- Introduction to blood banking, screening and selection of donor.

- Collection and storage of blood. ;

- Blood grouping ABO, RH and other system of grouping ,

. subgroup A , Bombay blood group and their antibodies. - Antibodies to ABO system, Anti 'AB' and Anti 'H' antibody. - ABO Testing - slide & tube test. Reverse grouping, discrepancies between cells and serum results , sourges of error, rouleux formation.

- RH Gtouping - Slide or rapid tube test , false positive , false negative , Du system .

- Cross matching , reasons of cross match, saline albumin, coombs and enzymes in testing

- Coombs test- direct and indirect, principle , procedure , sources oferrors , control , interpretation and clinical application.

- Organization of blood bartk, preparation and uses of various components of blood.

- Transfusionreactions.

Haematolosy:

- Introduction to clinical haematology.

- Instruments and glassware's used in haematology. - Preparation of various stains , buffers and solution used in haematology..

- Methods of collection of blood and anticoasulants used in haematology.

- Various methods of Hb estimation.

- Preparation and staining of PBF.

- RBC counting, WBC counting, Absolute eosinophill count. - Platelet and Reticulocyte counting.

- Morphology of normal and abnormal forms of RBC's .

18

qm + O rrq{qrq {rg-qt, Grrrqfl zs, zors rzr (12) .. - Morphology of normal and abnormal forms of WBC's. - DLC

- ESR

- PCV, Blood indices.

- Osmotic fragility test.

- Haemoglobin electrophoresis, estimation of foetal Hb. - G6PD estimation.

- Sickling test.

- LE cell test, Test for cold agglutination. - Bone maffow examination - Different sites and needle used - Automation in haematology- Basic principles. Clinical Patholoey :

- Introduction to clinical pathology & safety measures iri lab. - Quality control - External and Internal.

- Complete urine examination.

- CSF examination.

- Examination of other body fluids.

- Semen analysis.

- Norms of biomedical wastes and discardins of infected blood.

2ND YEAR SYLLABUS

TOPICS:

" General principles of histopathology works; collection^of specimen, numbering and giving tissue bits. ,' Equipments used in histopathology, their merits, demerits and care to be taken

" Fixatives used in histopathology^- Preparation, advantages and disadvantages

" Frozen section and cryostat technique staining and mounting, morbid anatomy

," Decalcification - Methods, advantages and disadvantages of each method

* Introduction of cytopathology, methods of collection of materials, making smears and preparations of fixatives used

" Different stains used in cytology, their preparation and staining the smears

* Exfoliative cytology of ban bodies (Six Chromatin) and pap staining

" Histopathology techniques. Morbid anatomy tissue processing, fixation, dehydration, clearing and impregnation in paraffin. * Making of blocks and section cutting. Errors in section cutting and their correlation

19

tztha) qTwnw_-g'-lirRfl:!-@ H&E staining including staining technique for rapid diagnosis and different types of mountants used

Preparation of diff'erent type of hematoxylin and eosin Preparation ofdifferent types ofspecial stains and special staining techniques

immunohistochemical & immunocytochemical staining Histochemical and cytochemical techniques

Normal coagulation cascade

Investigation of bleeding disorders

Bleeding time and clotting time - methods and interpretation Clot retraction time

Prothrombin Time

APTT

Thrombin time Fibrin degradation products ; Preparation of specimen for mounting Preparation of fixations for mounting Techniques of mounting

Organization of medical laboratory and

museum

and their maintenance.

. Equipments used in Histopathology Instruments of stains used in hematology Instrument used in cytology

Lab diagnosis of Jaundice

Lab diagnosis of Diabetes Mellitus Renal Function tests.

Schedule-2

[Sde regulation 41(2)]

labus of Diploma in Radiation Tech .no S. No Subject

Distributi

Distribution of on of time,

Marks Hours Per Exam Week

Th PR T

th PR

Viva- fotal voce

RT-I Radiological Anatomy I

100 100

,Physiology & Pathology RT-2 Radiological Physics ^t

100 100

RT-3

Radiography- I (cEN). I

I 100 100

RT-4 Dark Room Procedures I 100 100

20

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j i' 2s, zo1tr_-_ tzt(tg) --W RT-5

Clinical A Gitrumintai 32

7s 100 Skill lab- I l2s i RT-

Sffi r00 100 PRS

(PRS)

Totai-

32

36

protectionHazards & -Recent Ad;ances RADIOLOGICAL ANATOMY, PHYSIOLOGY &PATHOLOGY RATIONALE The study of anatomy physiology and pathology is essential because it will help in underitandln"g the basic structure of the organs, their functions and change's due to various diseases affecting the organs of the iruru"-U-o-ay. Gross Radiologic" ,:rH]H;:-, of human body. rheHuman Skeleton bo^ne^s joints, and formation of bones, growth ofskeleton, centers of Ossificatl"l,'ryp., of bones,type of .loints, thoracic contents and generar ro.ution of organs ind vessels, abdominal viscera and rJcation oitrt. ru;or organs, types of cells, composition and development,ceii function and tissue differentiation.

,l glko) irqretrq Rrq-qr, Grrtr 4, 2o1s qm + (q)

2. Anatomy, physiology and pathology of Body system-Genes reproductive

^organs,embryological de#ropment.Jh; nature andappearance of Bacteria. Common Benign Tumors,Marignant Tumors.Dissemination of Malignancy, Primary and Secondary spread.composition and type

tissue, of nerve muscular tissue and types.Abnormalities in tissues ,ulceration,sepsis asepsis and anti sepsis.Heart d

vessels.structure of brood, heart and function.Major uesrfrs.of circulatory^thesystern: blood circulation , purification.common terms used for diseases and conditions of this system. 3' Respiratory system'

pharynx, Nature and ?nd

nasar passages and nasal sinuses,

function of respiration.common

to terms rerated diseases and conditions of the system. Lymphatic lymphoid system. tissue and the tonsirs.Reticuio endotrreriar ,yrt.-, and tiu".spleen. bone monow.Life cycle of red

the blood.Alimentary "rd;hi;;.6[ur"t", orsystem.Functions'of mouth and teeil. .4. Salivary gland,pharynx and oesophagus

intestine,.large ,stomach, small intestine[colon], liver -biliary and pancreas tr::act, and Functions of alimentary system digestion absorption food, ofmetabolism, urinary tract-Kidney [Jreters ancr bladder Urinary urethra secretion.Reproductive system male genitalia, genitalia, femare mammary glands. Menstruations, pregnun.y lactation. ^and

Nerve system and common terms used in this system

subdivisions Main organs of sense.Structure and the functions eye,ear,Surface oflandmarks and topography in reration to organs the body for ofradiography positionin!. Infiamation. ey."*iu. bacteria ulcer. and the specific granuloilatous. disorders. endocrine. nutrition and metabolism.

Ref' Books:l.Foundation of Anatomy &physiorogy -Ross wilson

2. Atlas of Radiological Anatomy _ Weir & Abrahms

RADIOLOGICAI, PHYSICS

RATIONALE

Every electric current is accompanied by magentic effects : electro magnetism

&

is the branch of physics thai deals

relationship ,"i,t ,t between erectricity I & Magnetism. X-ray berongs to a"

I group of radiation calred electromagnetic _ radiation. It transport is of the energy through space as a combination of electric magnetic^andfield. Any accelerating charge not bound to an atom emit electromagnetic willradiation.

22

qrt-l (q\ + wwgerq Trq_qr,

CONTENTS

t"f::::,1._::r magnetism ["oi"ion physics : fl:il: ""a :;;"ii.*"i'""'";enersvVa;r;io,'u:"s: Lffi T,'::T,:::"::iffi method sof transmi;i"; ;i ;.; or magnets .magnetic H?ffiffi",11T:o;:tj*.* .properties l;r*s. field and line of forces u"nJifr.i lr measurement, Electromagnetism. Electricity, electrostatic conductor aird insurators.elementaryelectron theory. units of ele.r.i. potentiar. condensers and capacity "rrurg.s of condensers. Current, Electricity, Om,s Law,various units of current ,Voltageand rectifiers'Heating effect .".*",, units of point and power "i and working of movinf J"ii"""o moving ;H'ffi:t:??:i',Tipar induction,rransformers,.their

losses,.rating :i:.ff"ffffi"Jj:

Direct and Altemating currents, impedance, capacitance, Thermoionic emission irru.u.i..irti. , .u.u., of diode and triodevalves, semiconductors. Knowledge of Cathode anode ,rectifier.solid state _, rectifier rectified ,self circuits-imb13... or'ringr. valve rectifications .halfwave and fut wave rectifications ,traisformr. uni rriluur., cable ,rrrcalibration and measu..r""i^lrnits of HT.Measurement ofoutput ofx_ray Tube. Apparatus for Radiography,radiotherapy and imaging ^r'ppry'u"ri.* & its routine maintenance' Mains x-ray circuit control,and stablising,Equipment motors,various .fluororr.exposure timers contror of scattered radiations equipment.prroionuoro€raphv.man.*""illon,".l".fr,ii11hv'mobire

REFERENCE BOOKS:

L Radiation physics 2.rheF"'d;;;;d, of *-.uy and Radiation fjlhHff;"3. REOIOI-OGICAL BOOK FOR TECHNOLOGISTS BUShONg &.,. SiEVErt ' RADIocRApHy _ I G.;.iee'v'ri oj:'f 3iltLLqrln whi ch an i m ag ,, e ..- 6;t lf '#',^1

object- ., o"n' # "J:::; t"?#l between iidti3t':1";T.n; the source of the x-t") n",.rri,#j riatJrial, the resulting radiosranh "rd r!o-*r o.tuit, ;i;;. internar structure which is widely used inLedical field f";;t"g,r";;ic purposes.

23

qm (q) + Routine^ Radiographic t":fiffi3iH *rror. body. (Different r' \-views of routine with special views of radiography skull & Neck: Different views of skulr bones. Maxilla, mandible, zygom4 T.M. Joints. open mouth & close routh, mastoid,Petrous. bones, optic foramen, sella turcica. internar canal, sphenoid bone, soft tissue ";i;";y neck, nasopharynx, larynx. upper Limbs: Fingers individual l"a ;ir;i;, hand carpal tunnel syndrome, "9; wrist, forearm, erbow, head of radius humerus joints, shoulder acromio cravicurar joint, sternoclavicurar joint andscapula. Chest and Thorax Bones : Chest

PA (Tele radiography), Chest Supine, Lordotic, Oblique Lateral, sternum obliqu6, lateral and thoracic inlet view & decubitus. preparation Abdomen : indication and contra indication, acute abdomen, different position of abdomen-upright (standing) sitting,decubitus, supine, and in prone position.1{ing, Vertebral Column : A.tlanto occipiial, odontoid, cervical spine, cervico thoracic spine, dorsal spine, thoraco h#; r;;, rumbo sacral spine, sacrum, coccyx, scoliosis, kyphosis, flexion,extension and both oblique views of spines. Hips and Pelvis :pervis.with^Hip joints in different positions. Internal and external rotation, frog'positions. joints. S.I. cephalic tilt and caudal tilt.

Lower Limbs : Toes, feet, calcaneum, joints, ankle leg bones. Different patelra view of knee. inter concrylar notch and femurs. Others:Dental radiography, macro and micro *di";A;;, mobile 'radiography and portable for bed side op"iuti* theatre radiography, cine radi graph o y, ro c aliza{io i oi r"*i g" u"av, batrery "*a operated units mass miniature radiographv uil ' otheremergency radiography.

REFERENCE BOOKS:

WHO Manual of radiographic - Technique. 1 2. Radiographic for technicians -

3. Pocket Atlas of Dental Radiology. Clark's positioning in radiograp-hy :

DARK ROOM PROCEDURES

Radio-g-raphv unquestion#tilttl""r; ends in the dark room'where the necessary handling and processing oi x-ruu nr-

24

qFT 4

\T-q{etr|-q Tlul-q't 121 can be carried out safely and efficiently, without the hazard of producing film fog by accidental esposure to light or X-ray.

CONTENTS

Dark Room Procedures :photographic Process-Light image.image produced by radiation.light sensitive materials,latent imase.

Film Material :The structure of X.ray films.resolving power- graininess of film.sensitivity of film.speed of film.contrait of film and types of film.

Sensitivity :Characteristic curve and its usefulness. X - Ray Film Storage :Storage of unexposed films. Screens : construction of intensifying screens. choice of fl uorescent material.intensifying factor detail Sharpness,speed,screen contact,care of intensifying screens and type ofscreens.

cassettes :cassettes design and care of cassettes.Mountins of intensifying screens in the cassettes.

Film Processing :consitutions of the processing solution and replenisher.Factors affecting the developer type of developer and fixer.factors affecting the use of the fixer,silvei recovery method. Film Rinsing washing and Drying :Intermediate rinse. washins and drying of films.

Film processing Equipment :Manual dnd automatic processing. Dark Room Design :Layout and material used

The radiographic image :The sharpness, contrast detail definition.viewing conditions.

Administration :Trimming, identification of film legends,relevant papers of the patients.records filling,Report distribution. Dark Room Process :Light proof with colour.ventilation and temperature.maintenance.Technical and processing fi lm faults. Fog static pressure and sthtic currents. Artefacis of different types. Darkroom illuminations, orientation of laser cameras.

REFERENCE BOOKS:

1. WHO-Manual of darkroom Technique.

2. Radiographic physics and darkroom procedure._ Gupta.

3. Radiographic Photography. -CHESNEY D.H. & CHESNEY

M.O.

CLINICAL & INSTRUMENTAL SKILL LAB. TRAINING-I

RATIONALE

25

It is very important for a X-ray trainee to have practical knowledge of various laboratory tests.The student will be able to interpret correctly the test results and correct diagnosis ofa disease. Practicalp & training related to theory papers-Radiological Anatomy, Physiology& Pathology, Radioloeical

Physics,Radiography -l (GEN.)Dark Room Procedures. Note : The Essential Theory should be taught during the Practicals.

REFERENCE BOOKS :

1. WHO- A Guide to X-ray Department l'or Diploma lI nd Year Radiation Techno S. Subject

Distributio Distribution of Marks No. n of time

Hours Per Exam

Week

lh PR I rh PR Viva- Sessional Iotal Voce A.ssesmen

:PRS)

R.T-6 RADIOGRAPHY 2 ^I

r00 100 Special RT-7 Basic Principles of I 100

100

Radiotherapy, Radiation Hazards & Protection

RT-8 Recent Advances I 100

r00 RT-9 Patient Care & I 100 100 Hospital Management

RT. Clinical & )z tz t0 z5 l5 100 l0 Instrumental Practice lab II

Total t2 36

s00 RADIOGRAPHY2Id (Special)

RATIONALB

Radiography is branch of photography in which an image is formed on a film or plate by exposure to X-ray, an opaque object- e.g. Part of human body or a metal casting is placed between the source of the X-rays and the sensitized material; the resulting radiography shows details of the internal structure which are widely used in medical field for diaenosis.

T[q{ql-{ $uT-t1-1. 3lrfftI 2015

CONTENTS

1. special Radiographic Techniques & Applications & uses of contrast media carotid Angiography, Investigation related to the blood

Supply of the brain.

position ventriculography pneumo- and techniques Encephalography trolley equipment, preparatiori of patient th" and after care.

Angiography:- four vessel, Selective cath procedurelab Gastro intestinal tract:- Ba. swallow, Ba. Meal, Ba, Meal follow through, Ba. Enema

Biliary Tract: .hepatic Oral Cholecystography, IVC, trans percutaneous cholangiography, preoperative cholangiography, T_ tube cholangiography and ERCp.

Myelography:- Vertebral Angiography, preparation patient, of contrast media equipment and techniques procedure: of Urinary Tract KUB, IVU grade, cystourethrogram; - ,Retro micturating urethro graphy.

Hystero-Salpingography:- Investigation of uterus and fallopian tubes.

Tomography Principle, equipment with type of - movement, procedures.

Theatre technique Sterile technique in or, cleanliness - of mobile unit or C- arm.

Others Dacrocystography, sialography, sinography; - angiography -arteriogiaptry, (cerebral and venography) Bronchography, mammography, Lymphangiography,--Spleenoportovenography, xerography and all other special investigations. Ref. Books:- 1. Clark's positioning of Radiography

BASIC PRINCIPLES OF RADIOTHERAPY, RADIATION

HAZARDS & PROTECTION

RATIONALE

X-ray may cause harm. Many S''^.ltic dangers of radiation became evident a few months after X-rays were discovered. small doses of radiation can cause both mutations & neoplasm. No one just knows protection how much radiation is tolerable. must be provided against any type of radiation general to public as well as radiation workers. The greatest risk from X-rays is for the operator and doctor, who may be exposed repeatedly over years the while they are working.

27

\ €Trq Tfq_q;, 3rq-w 25, qr{r 2015 4 General 'o*"li,t ratio, ce' cvcre, Factors 11l'i'flHfltti'apeutic influencing -ot radiation e'fiects on normal tumour ce,s,Radiotherapy management of vario-us malignancies treatment and side effects of radiationr. r'o*t.og" ;- ii;;; iccererators, brachyrherapy -,rr.i, & Teletherpf'ruru.r,in" a .ipprications isotopes & irreir 'Radioactive apprications Fundamentals ofcomputers & its apprication in Radiodiagnosis& R;i;;"r"pyRadiation hazardi and its p-r.oil" for occupationar workers general and public, planning oi departm;;t-;f radiology, or it"', Radio a"ii"i,v"^ naturar and ff#:,,}Hit#:T:e Interaction of radiation with matter, quantity and quality radiation ofand the factors on *fri.frli depends. H.V.T. T.V.TVarious radiation_ units ,ug,^lr*, ._ +;;;;;", y, various radiation measuring "ir,.oori_"t instrtinents, IcRp r..o-..noations,measurement of X-ray and other radiation, ,"r., oiadiib effects of , radiation, radiation hururarl, nfiiiuanr.

REFERENCE BOOKS:

physics I.Radiation 2'rhepunaam-J,ilrs orX-rav and Radiation i*Hlil #3. A book of radiolosicaii;;E;d;;,, Bushong -_-.."^'b

& sivert RECENT ADVANCES

RATIONALE

bvery electric . current is accompaniend by magnetic effects & electromagnetism is the uln"r, of physics that deals with the rerationshif between ri..ojriry belongs to .&-Magnetism.X-ray qroup a of radiations -transport calred electromagnetic radiation.If the of ,n.igy through space as -ir"Jrrrutinga combination of e]e_ctri9 *a-mffii. field.inv charge not bound to an atom will eriit electromagnetic radiation. t. RecentAdvancesrr"rgffi-I.fforogy

Image intensifiers Rapij ,""riuf pressure syringe ^;#;";ffir. ray x_ tube ..frunlers and comptete know,eas. *,n accessories. u,, mobile "r "-.* and portabl. *]*n unrrr. Recent advance in imaging ;;.h";Gy: _ Knowledge of Ultra sonograhy, Color ooipter, airr.r-.ni"tip., oftransducers (ii) CT Scan, conventional, spiral (Helical), Multi slice.

28

qi) Magnetic resonance imaging (MRI) (iiD Spectroscopy r (MRS) Computerized (iu) radiography

Digital Radiography (")

(vi) DSA

(vii) Picture Archiving communication system (PACS) (viii) Mammography

(ix) Orthopantography

(x) Positron emission Tomography (pET) (xi) Different type of cam.rui.g. iur.r, photography etc.

2. REFERENCE BOOK:

1. RadiationphysicsSatishBharghav 2' The Fundam_entals of X-ruy uia Radiation Josah beh* 3 Diagnostic Ultrasound Rumack 4. Computed Tomography & Magnetic Resonance Imaging of the Wnole Body Haaga 5. Foundation of Computing p.K p Sinha Ai Sintu Patient care &

"",onji3"ll::f:fiCONTENTS and care of enamel, stainless steel and glass 2_^t^_,.C1:T:nt rnstruments/cleaning of rubber and polythene goodr, c-Jof linen, woolen blankets, mattress and othir sheets, [.a-_utirrg, givingbedpan, urinal and removing them. Lifting of patients and first aid procedures. Transferringpatients from wheel chairs, troiley or stretiher to the bed and x_ray couch and vice versa. Temperature, pulse, respiration ana blood pressure' enema water and soap water enema. Explanation ofhospital charts, sterilization ana iteriL technique of handring thesterile instruments. Injection Technique : Intra Muscular, Intra venous, settingu.R.oldriR, supply prr.ir"i"g, dignity patient. of of the 9f.oxyge.n, sick. Preparation of the patient rir any major invesiigati-ori. use ofX-ray and radiation preparation hazards. of the trays for special investigation and .?r_._ patients. gancer Maintaining ;p to Aut. ll medico legal case (MLC) Radiographic record and verification ofpatient's marks of identity. stoiage and distribution oi reported films, storage of waste films and usid solutions. Hospital management

29

a Rules & Regulations:

& registralion procedure,, Shop & li:..ylt CommercialEstablishment act. Municipal bye laws & inrurun.";or;;;.. Management Techniques :

Leadershipauthorityresponsibility, Functions of HospitalManagement

Control Quality & Acceptance euality

importance of keeping,t*A*0,|4ea-nine Factors responsible for deviation from standardi.ISb and tSO 9000 to 9006, Totalquality management. Human personality Relations & Development

Motivating the employees,Inter personnel relations, Grievances

Staff requir.rn"nt, training anC 3a fr_e{nandling, monitoring. Bio Medical Waste Management:

Environmental impact of iadiation, Introduction to bio-medicinalwaste, Types of bio-medical waste, colrection of bio-medicalwaste, treatment and safe disposal of bio_medical waste REFERENCE BOOK:

1. WHO Guide to X-Ray -A Department WHO Manual of Radiograptric - ?. iechnique. 3. Radiographic for Technicians.

4. Hand Bok on entrepreneurship Development O.p. harkut. Envirqnmental Impact Assessment Mc Graw Hill, :

yark,New lg77

CLINICAL & INSTRUMENTAL SKILL LAB TRAINING- II

RATIONALE

It is very important for an X-ray trainee to have practical knowledge of various raboratory tests. The student will be able to interpret correctly the test ..rutt, Ld ,o.r..i ai"g""ris of a disease. practicar a trainiffi;l:1,|:"ry papers Radiography - (Special). -II Radiotherapy Radiation prot..,ion,Hazards & Physics of patient Recent Advances, iare aHospitat tvt*u"g.-.nr.Since the trainee has to *ork on various medicalinstruments &. equipments, he must have the basic knowledge and practical training about the different machines so that in case ofduring work. He/She will be able to .orr..t and repair ffJ;T,llt.

30

qrrr 4 (ril lTq€Irq sq-q{, slrfw 25, 2015 121(29) l

PRACTICALS:

- Introduction to equiPments - SimPle usage

- Indication & Contraindication^use - Repair & Maintenance of Instruments' Note:rneBssentialTheoryshouldbetaughtduringthePracticals.

REFERENCE BOOKS:

WHO - A Guide to X-RaY DePartment' Diploma in Radiation TechnologSr Ist Year Radiation Techno Subject Distributio Distribution

n of time

:Iours^PerExam

Week

Th ^PRT Th ^PRViva- Total

voce

I 100'

100 tT-l Radiological Anatomy Physiology & PathologY

I ¹⁰⁰¹⁰⁰

RT-2 ladiological PhYsics RT-3 RadioeraPhY- I (GEN) ^It00

100

I I ¹⁰⁰¹⁰⁰tT-4 )ark Room Procedures 32 t)

25 ¹⁰⁰rT-5 llinical & Instrumental Skill lab-

1 T-

;essional Assessment (PRS)

100 100

PRS

4 32 36 600 Iotal E'nr T)inloma IInd Year Radiatiton Technolo Subject Distributio Distribution^of Marks

S.

No.

n of time Hours^{Per Exam} Week

Th ^{PR T}Th ^PRViva- Total voce

rT-6 neotocnnpuy^.1002"uII ¹⁰⁰ Special

I ¹⁰⁰¹⁰⁰tT-7

Basic PrinciPles of RadiotheraPY, Radiation Hazards & Protection rT-8

Recent Advances ^II ¹⁰⁰

100

tT-9 Fatient Care & HosPital ^1100100 Management

31

T|_S{erq wl_q-{ strf{fl 25, Clinical & Instumental Practice lab II

Sessional aiGssment fpnU RADIOLOGICAL ANATOMy,pHysIoLOGy & rhe s,".' , essentiar ?i,fr,T,?r"lu9I"T#t3)1,1,i""*-,, because it will help in uirai.JtuJing the basic structure of the organs, their and changes due to various diseases inctioS; affecting the organs of the frurnuoUo"ay. Gross Radiologic" r:'#lH;:,o, or human body. rheHuman Siieleton O":": j*r;rmation of bones, growth Tg ofskeleton, centers of Ossificationl'ryp., of bones,type joints, of thoracic contents and generar io#ion. of organs"'and vessers, abdominal viscera-and rocation h. organs, types of cells, composition .Tujol 'ano "i and development,Cell function tissue differentiation. physiology 2' Anatomy, pathorogy and of Body system-Genes reproductive organs,embryological development..The nature andappearance of Bacteria. Common

Benign Tumors,Malignant Tumors.Dissemination of Marignancy, Primary and Secondary W*lJC"_position and type of nerve tissue, muscular

,ur"",utions"p,il Tr':ffi i:;3fr?:'ff']" ili'#:, ffi:::vessels'structure of heart and function.Major vessels.of the circulatory system: brood"circui"r*, purifi cation.common termsused for diseases and condition, ofifri, system.

sysr:T. nasat passages and l;^l::otlrjory nasal ?nd sinuses, pharynx, Nature and function of respiration.common terms rerated to diseases and conditions or tnr'-ryrtem. Lymphatic system. lymphoid tissue and the tonriir.n"iicr]lo endothetiar system, riverand spleen' bone morrow.Lire cy.le oired and white corpuscres ofthe blood.Alimentary system.Functions ;;i' ;; r#.Salivary glandpharvn* "f *J'*sophagus ,!. _,. ,stomach, small rntestine,'large intestine[coion], riu.r and biliary tract, and pancreas Functionsof aie.rtion,uU*fition of li:*lty.syste-T food' metabolism, urinary.tract-Kidney ureters and bladder urethra urinary secretion'Reproductive mare genitaria, ;;:* female

32

\ qrq a (rl) Yrq{elrq {rq-qt, 3lrRf, zs, zots tzt(at) genitalia, mammary glands. Menstruations, pregnancy and lactation.

Nerve system and common terms used in this system Main subdivisions organs of sense.Structure and the functions of eye,ear,Surface landmarks and topography in relation to organs of the body for radiography positioning.Inflamation. Pyrexia.Ulcer. bacteria and the specific granulomatous. disorders. endocrine. nutrition and metabolism.

Ref. Books: l.Foundation of Anatomy & physiology -Ross Wilson

2. Atlas of Radiological Anatomy- Weir & Abrahms

RADIOLOGICAL PHYSICS

RATIONALE

Every electric current is accompanied by magentic effects & electro magnetism is the branch of physics that deals with the relationship between electricity & Magnetism. X-ray belongs to a group of radiation called electromagnetic radiation. It is the transport of energy through space as a combination of electric and magnetic field. Any accelerating charge not bound to an atom will emit electromagnetic radiation.

CONTENTS

Basic Electricity and magnetism and Radiation physics :

Units of measurement force, work, energy .Heat and energy Various method sof transmission of heat. Magnetism, classification of magnets. properties of magnets ' .magnetic field and line of forces and their measurement, Electro magnetism.

Electricity, electrostatic conductor and insulators.elementary electron theory. Units of electric charges potential. Condensers and capacity of condensers.

Current, Electricity, Om's Law,various units of current ,Voltage and rectifiers.Heating effect of current, units of point and power consumption,Principal and working of moving coil and moving iron type of meters.

Electro Magnetic induction,Transformers,.their losses,.rating ,induction motors.

Direct and Altemating currents, impedance, capacitance, Thermoionic emission , Characteristic curves of diode and triode valves. semiconductors.

33

RlaNeIFI qvT-rfal. 3]-rl-fiI 25, 2015 qIq 4 Knowledge of cathode , anode ,rectifier.solid state rectifier ,self rectified circuits imbalance of single valve rectifications .half wave and full wave rectifications ,transformer and HT cables .HT cable calibration and measurement units of HT.Measurement of out put ofx-ray Tube.

Apparatus for Radiography,radiotherapy and imaging & its routine maintenance. Mains supply,basic x-ray circuii control,and stablising,Equipment motors,various exposure timers control of scattered radiations fluoroscopy tomography.mobile equipment.photofl uoro graphy. mammographic equipment.

REFERENCE BOOKS:

1. Radiation physics Satish Bharghav 2.The Fundamentals of x-ray and Radiation .JoSaph.Selman

3. RRoroLocICAL BooK FoR TECHNoLocISTS Bushong & sievert : RADIOGRAPHY^{- I} (Gen.) RATIONALE

Radiography is a branch of photography in which an image is formed on a film or plate by exposure to X-ray. An opaque object- e.g. Part of human body or a metal is

"asiing ftaieobetween the source of the X-rays and the sensitized ma terial; the resulting radiograph shows details of the internal structure which is widely used in medical field for diagnostic purposes.

CONTENTS

Routine Radiographic Techniques' for whole body. (Different views of routine with special views of radiography skull & Neck: Different views of skull bones. Maxilla, mandible, zygoma, T.M. Joints. Open mouth & close mouth, mastoid, Petrous bones, optic foramen, sella turcica, internal auditory canal, sphenoid bone, soft tissue neck, nasopharynx, larynx. Upper Limbs: Fingers individual and as a whole, hand carpal tunnel syndrome, wrist, forearm, elbow, head of radius humerus shoulder joints, acromio clavicular joint, sternoclavicular joint and scapula.

Chest and Thorax Bones : Chest pA (Tele radiography), Chest Supine, Lordotic, oblique -lateral Latenl, sternum oblique, and thoracic inlet view & decubitus.

Abdomen : Preparation indication and contra indication, acute abdomen, different position of abdomen-upright (standing) sitting, lying, decubitus, supine, and in prone position. vertebral column : Atlanto occipital, odontoid, cervical spine, 'cervico thoracic spine, dorsal spine, thoraco lumbar spine, lumbo

34

rrq- 4 ft)

q\rN€lT;T qluT-qa{, 3I{|KI 25, 2015 121b3) sacral spine, sacrum, coccyx, scoliosis, kyphosis, flexion, extension and both oblique views of spines. Hips and Pelvis :Pelvis with Hip joints in different positions. Internal and external rotation, frog positions. S.I. joints. Cephalic tilt and caudal tilt.

Lower Limbs : Toes, feet, calcaneum, ankle joints, leg bones. Different view of knee. Patella inter condylar nbtch and femurs. Others:Dental radiography, macro and micro radiography, mobile and portable for bed side radiography operation theatre radiography, cine radiography, localization of foreign body, battery operated units , mass miniature radiography and all other emergency radiography.

REFERENCE BOOKS:

1.^WHO - Manual of radiographic Technique.

2. Radiographic for Technicians

3. Pocket Atlas of Dental Radiology.

4. Clark's positioning in radiography

DARK ROOM PROCEDURES

RATIONALE

Radiography unquestionable begins and ends in the dark room.Where the necessary handling and processing of X-ray film can be carried out safely and efficiently, without the hazard of producing film fog by accidental esposure to light or X-ray.

CONTENTS

Dark Room Procedures :Photographic Process-Light image.image produced by radiation.light sensitive materials,latent image.

Film Material :The structure of X-ray films.resolving power- graininess of film.sensitivity of film.speed of film.contrast of film and types of film.

Sensitivity :Characteristic curve and its usefulness. X - Ray Film Storage :Storage of unexposed films. Screens : Construction of intensifying screens. Choice 'of fluorescent material.intensifying factor detail

Sharpness,Speed,screen contact,care of intensifying screens and type ofscreens.

Cassettes :Cassettes design and care of cassettes.Mountin-gu ,o,0f ffi'J"fl.ll:.::ffi"1 8"*il,'m;^the processing sorution replenisher.Factors affecting the developer type of developer and fixer.factors affectins the^use of the fixer.silver recovery method.

35

i?l bc__ __ .lrqen-{ fE !L W }s, ?p1-5_ ___i!1_4_$) Film Rinsing Washing and Drying :Intermediate rinse. washingand drying of films. Film processing Equipment :Manual and automatic processing.Rog-nt Design :Layout un,trnui"riul used P.u"k r ne radiographic image :The sharpness, contrast detairdefi nition.viewing conditions. Administration :Trimming, identification of film regends,rerevant of the pati ents.records fi Il ing,Report lap:rs distribution. Dark Room Process :Light p.o"oi *ltt colotr.ventilation and temperature'maintenance.Technical and processing fi lm fautts. Fog static pressure and sratic ;;;i;. Arrefacts of different types'Darkroom'ruminations, orientaiion of raser cameras.

; REFERENCE BOOKS:

l. WHO-Manual of darkroom Technique.

2' Radiographic physict and aarkroo* i.o..au...- Gupta. 3. p-hotography. Radiographic _CHESNEY D.H.

& CHESNEYM.O. CLINICAL & INSTRUMENTAL SKILL LAB. TRAINING.I '

It is verv imporrant fo.: havepractical knowledge &il.:illlr: of various laboratory tests.The student w'l be able to rnterpret correctly the test resurts and correct diagnosis ofa disease. Practicals & training rerated io'l[.orv p"p;:R;iological -futhofogy,' -i;;"logical Anatomy. Physiology& Physics.Radioeraohy procedures.1C-EN.;Oark Roo* -l Note : The EsJentiui Th.o.v rh;;il;;;aught practicals.during the REFERENCE BOOKS :

2. WHO- A Guide to X_ray Department Foleip!" __r_ qtqr++yetr r B4!ia n Tech n_orpglio Subject - -Tj*Fpistriuution orMffi, i". . , Per Week

neotocRepHv

Special

36

l 'l IF r_4fTL _ ____IWIairq:ir,.-!K_?_L _?0 1 s __ __ _t 4@) -,l''dl

Recent Advances

P;ildt care &

RADIOGRAPHY 2no (Special) i

RATIONALE

- Radiography is branch^of photography in which an image is formed on a film or plate by exposure to X-ray, an opaque object_ e.g. Part of human body or a metal casting is placed between the source of the X-rays and the sensitized material; the resulting radiography shows details of the internar structure which are widely used in medical field for diagnosis.

CONTENTS

l. Special Radiographic Techniques & Apprications & uses of , contrast media

Carotid Angiography, Investigation related to the blood Supply of the brain.

ventriculography Position and tech'iques pneumo- Encephalography trolley equipment, preparation of the patient and after care.

Angiography:- four vessel, Selective cath lab procedure Gastro intestinal tract:- Ba. Swallow, Ba. Meal, Ba, Meal follow through, Ba. Enema.

Biliary Tract: Oral Cholecystography, IVC, trans hepatic percutaneous cholangiography, preoperative cholangiography, T_ tube cholangiography and ERCp.

Myelography:- Vertebral Angio grapl-ry, preparation of patient, contrast media equipment and techniques of procedure. Urinary Tract * KI-iB, IVU ,Retro grade, cystourethrograrn; micturating urethro graphy.

Hystero-Snlpingography:- Investigation of uterus and fallopian tubes.

37

4(.T) l principle, Tomography equipment - with type of movement, procedures.

Thealre technique sterile technique in - or, cleanliness ofmobile unit or C- arm. Others Dacrocystography-, sialography, - sinography; angiography (Cerebral and venography) Bronchography, arteiiography,^Lymphangiogrupfry, mammography, .Spleenoportovenography, 'xerography and all other special inveitigations.

Ref. Books:- l. Clark,s poiitioning of Raaiography

BASIC .RINCI*LES OF nq,DtorHnnapv, RADIATION

HAZARDS & PROTECTION

RATIONALE

X-ray may cause harm. Many somatic _ dangers of radiation became evident a few months after X-rays were discovered. Smalrdoses of radiation can cause both mutations & n"oplur* No one just knows how much radiation protection is tolerabre. must be provided against any type of radiation to general public as weil as radiation workers. The greatest risk from x-.uy, is for the operatorand doctor, who may be exposed repeatedry over the ylar, *nitethey are working.

CONTENTS

principle General of radiotherapy, therapeutic ratio, celr cycre, Factors influencing radiation eff,cts on normal tumour cells,Radiotherapy management of various malignancies treatment and side effects of radiations. Knowledge ol Lin"u. accelerators, brachytherapy & Teletherpy Machine &, their Applications ,Radioactive isotopes & ih.i. apprications Fundamentars ofcomputers & its application in Radiodiagnosis & Radiotherapy

Radiation hazards and its protection for occupational workers and general planning public, of department of radiology, Radiotherpy.Structure of Ato,n, Raaio' Acrivity nuiulr and artifrcial pro ducti on.

Interaction of radiation with matter, quantity and quarity ofradiation and the factors on which it depends. H.V.T. f.V.f

Various radiation units Roentgen, ra_d, rem, etc, Dosimetry, -- various radiation measuring instruments, ICRP recommendations,

measurement of X-ray and other radiation, rules of AERB effects, of radiation, radiation hazards,, film badse.

REFERENCE BOOKS:

l.Radiation Physics Satish Bharghav 2.The Fqndamentals of X-ray and Radiation Josaphy Selman

38

-.

3. A book of radiological Technologists Bushong & sivert

RECENT ADVANCES

RATIONALE

Every electric current is accompaniend by magnetic effects & electromagnetism is the branctr- of physics that deals with the relationship between electricity & Magnetism.X-ray belongs to a gioup of radiations called electromagnetit radiation.If the transport of energy through space as a combination of electric and magnetic field.Any accelerating charge not bound to an atom will emit electromagnetic radiation.

CONTENTS

l. Recent Advances in Imaging radiology Image intensifiers Rapid serial changers pressdre syringe x-ray tube and complete knowledge of *-ruy uniis along with all accessories. mobile and portable x-ray units. Recent advance in imaging technology: -

(i) Knowledge of Ultra sonograhy, color Dopprer, different types oftransducers.

(ii) CT Scan, conventional, spiral (Helical), Multi slice..

(xiii) Magnetic resonance imaging (MRI)

(xiv) Spectroscopy (MRS)

(xv) Computerized radiography

(xvi) Digital Radiography

(xvii) DSA

(xviii) Picture Archiving communication system (pACS)

(xix) Mammography

(xx) Orthopantography

(xxi) Positron emission Tomography (pET) Different type of cameras

-(.xxii) e.g. laser, photography 2.^etc.REFERENCE BOOK:

l. Radiation Physics Satish Bharghav

2.The Fundamentals of X-ray and Radiation Josah Selman

3. Diagnostic Ultrasound Rumack

4. Computed Tomography & Magnetic _ Resonance Imaging of the Whole Body Haaga

5. Foundation of computing p.K sinha & p Sinha BiB publication Patient Care & Hospital Management

CONTENTS

. Cleaning and care of enamel, stainless steel and glass instruments/cleaning of rubber and polythene goods, care of linen,

39

?1(ge)

3l.f,Bffi iTq:g]-_qFl-{f, 2s, 2o1s

q 4 ('I) woolen blankets, mattress and other sheets, bed making, giving bedpan, urinal and removing them.

. Lifting of patients^and first aid procedures. Transferring patients from wheel chairs, trolley or stretiher to the bed and x-ra! couch and vice versa. Temperature, pulse, respiration and blood pressure' enema waler and soap water enema. Explanation of hospital charts, sterilization and iterile technique of irandling the sterile instruments

Injection Technique : Intra Muscular, Intra venous, setting u.R of drip, supply of-oxygen, dignity of patient. psychology of the sick. Preparation of the patient for any major invesiigatioi. rrr. or X-ray and radiation hazards. preparation of the tr{s for special investigation and cg9 of cancer patients. Maintaining up to date medico legal case (MLC) Radiographic record and verification patient's ofmarks of identity. storagi and distribution of reported films, storage of waste films and used solutions. Hospital management

Rules & Regulations:

Ligensing &. registration procedure, Shop &, Commercial Establishment act. Municipal bye laws & insurance coverage. Management Techniques :

Leadership authority responsibility, Functions

of Hospital Management Quality Control & eualify Acceptance Meaning importance of keeping stindard, Factors responsible fbr deviation from standards.rso and ISo 9000 to 9006, Total quality management.

Human Relations & personality Development

Motivating the employees,Inter p.tronn.l rerations, Grievances and their handling, staff requirement, training and monitoring. Bio Medical Waste Management:

Environmental impact of radiation. Introduction to bio-medicinal waste, Types of bio-medicar waste, colrection of bio-medical waste, treatment and saf'e disposal of bio-rnedical waste

REFERENCE BOOK:

6. WHO , A Guide to X-Ray Department

7. WI{O - Manual of Radiographic Technique. B. Radiographic for Technicians. e. Hand Bok on entrepreneurship Development O.p. harkut. to. Environmental Impact Assessment Mc Graw Hill. New Yark. 1977

40

wi(o---wE-Erz-rc-ale.0-rc_1a.G9) CLINICAL & INSTRUMENTAL SKILL LAB TRAINING_II It is verv i-po.tunffi:.,"ooiifr trainee ," n*"-oracticalknowledge of various laboratory i.rl. rrt. student will be able to correctly the tesr ,.r"iir' correct diagnosis of a ;T:Tr::t "rO practi

c ar *.."' t,irx$"!lt ;1H p ap ers Rad y i graph o y - (Speciar). -II Radiotheripy n"a*ti"n plotection, Hazaids a Physics of Recent p"ti."r?. advances, & Hospital Management. Since the trainee has to work on various medicalinstruments & equipments, he must have the basic knowledge practical and training about the diffeieniLu.r,h., so that in case ofduring work. He/She wilt be able to .orr..i uno r.pui. ;f;T,:rlt"

PRACTICALS:

Introduction to equ ipments Simple usage

- Indication & Contraindication use Note : The Essenria,J!:oO ,fr"rlJ'il" i"rghr practicats. during the REFERENCE BOOKS:

WHO A Guide to - X_Ray Department.

Schedule-3

SvrabusorDiproma[*-":'f*"fi"":fi$]lrechnorogy

pHys App,.rED rcs, ."rr, rr*ft\L.1_,ANrcs.

DENTAL vEcueNics.

APPLIED ORAL ANATOMY.

DENI1! rr.-l^tHii^o' DENTA-L. MATERIALS A VETEIIUNCY. BASIC KNO.WLEDGE OT' COVPUTERS & RECORDS MANAGEMENT. 'ION rE_AAU!{q 4Np EXAMTN A SCHEMS.No.

Subject

Distributio Distribution of lvfarkJ n of time

-;--per Hours EXAM

Week

Th PR

T Th PR

Viva- Total DM-I APPI TEN voceI r I I Jl\/,), l

I r00 CHEMISTRY r00 &

41

MECHANICS

DM-2 DENTAL MECHANICS l

I 100

75 25

200

DM-3

APPLIED ORAL I

I t00 75 25

200

ANATOMY.

DM- Sessional Assessment ^aaJJ

100

100

PRS (PRS)

Total J JJ

36 300

250 50 600

TEACHING AND EXAMINATION SCHEME

S.

lubject Distribution

)istribution of Marks No.

rf time Iours Per

Exam Week Th )R

t th PR y'iva-

lotal /oce DM-4

DENTAL MECHANICS I 100 t) z5

200

(FTNAL).

DM-5

DENTAL MATERIALS & I

I r00 100

METALLURGY.

DM-6

BASIC KNOWLEDGE OF I

00

r00 COMPUTERS &

RECORDS

MANAGEMENT.

DM- Sessional Assessment (PRS) )J

r00 100

PRS

Total )J

t6 00 t75 z5 500

SYLLABUS FOR DIPLOMA IN DENTAL MECHANICS

PART- 1

APPLIED PHYSICS, CHEMISTRY & MECHANICS

1. APPLIED PHYSICS:

Specific gravity density, properties of matter, including cohesion, capillarity, surface tension viscosity, elasticity, diffusion and osmosis. Heat: temperature and its measurements thermometers and Pyrometers. General account of expansion by heat of solids, liquids and gases, thermostats, pressure gas and hydraulic. Boyle,s and Charles Laws. Unit of heat, thermal capacity and specific Heat, Change of stage: Latent heat:

melting Point. Properties of vapors, conduction,

g|If 4

trI -_ _ !trr€itr !tr:!L_{rrF 2p,zo1 r__ _12L@1) convection and radiation. principles of electro_ technology applied to dental work ioom, Exercises/ Demonstrations :

o

Balance- weighing correct to a millisram a

Determination of specific gravity Uylne principle of Archimedes (Solids and Liquids).

Determination of Surface tension of liquid by capillary rise. Determination of Linear expansion of solids (level methods). Determination of the specific heats of solids and riqriJ, Lv1rr"

method of mixtures.

Small motors- constructional features and characteristics (Demonstration only)

o Determination of the electro_ chemical equivalent of copper. Applied Mechanics:

Parallelogram and triangle of forces. Moments, centre of Couples, gravity, principles of lever and cantilever Energy, work,Power, Friction, Inclined plane, Screw Strees, Strain, heating Torsion, Bending ,nou.n'.rrtr, Strength and stiffness materials. of

Exercises/ Demonstrations :

Verification of the parallelogram and triangle laws forces. of

Inclined plane Determination of mechanical advantage Determination of young,s Modulus by bending of

Applied UJu_r. Chemistry:

Distinction between physical and chemical

elements, change; mixtures and compounds: position of atmosphere;^theoxygen oxides; burning and rusting; properties and wate*otu.n, rusting, *ut.. sotvent properties crystnillization; action of water on metals; composition water hydrogen; oflaws of chemical ; meaning oi chemical symbols valency; simple chemical equations; u"iir, Uases Electrolysis,^arrOThe ionic theory of solution.

potential The electro series, electroplating, g"n..ul characteristics of themetals- including an elementury itray of the common metals and. alloys with special referente ailoys with special reference

to those used in the dental work room.

Alcohol, ethers adlehydes and ketones, futty acids and

more theirimportant derivatives, Simple treatment of carbohydrates,

fats and proteins, benzens and its homologues characteristics of

43

121.V?) __ jrqTlfl-q:l!{:qa-!Il{f,25, 2015 qrq 4^(.t) aromatic substances. Synthetic resins and plastics used in Dentistry.

Exercises/ Demonstrations :

Tests for acids and alkalis radicals.

Acid- base titration- Neutralisation of acids with. Titration of N/l0 NaOH with N/I0 HzSO+ phenolphthalein or methyl red as indicator 2a

Total Nitrogen determination in In - oragnic nitrogenous materials, digestion and distillation.

Total Nitrogen determination in In- organic (ammonical) solutions (or salts) by direct distillation with Mg. Determination of Phosphorus in in- oraganic materials by prexipitation.

Determination of Potassium in aqueous solution by per chlorate method.

Electrolytic deposition (electrolysis and

electroplating of metals).

(c) Deposition of Copper by electrolysis

of copper sulphate solution.

(d) Calculation of E. C. E.

DENTAL MECHANICS

l.

Dental mechanics (Primery):

Bite blocks:- base plates and wax rims. Articulators: classification, daily uses, and care of articulators.

Adjustments, mounting of casts.

Articulation, occlusal plan, protrusive balance, working bite, balancing bite, curve of space, compensating curve, lateral curve.

Principles of selection of teeth.

Setting of teeth and wax finishing.

Flasking, dewaxing, packing, curing and deflasking. Finishing and polishing of dentures.

Additions, repairs, relining and revasing of dentures. Immediate denture construction.

Making of acrylic teeth.

Kennedy's classification of partial dentures. Principles of partial denture, clasp surveyor, surveying, path of insertion and removal. Establishment of clasp seat. C lasp' s parts, classifi cation, function and reciprocation.

44

Principles of wire.bending, preparation of wrought clasps, occlusal rests and lingual bars.

APPLIED OR,dL ANATOMY

APPLIED ORAL ANATOMY:

Elementary anatomy and structure of dentu re/ bearing Human area. dentition and occlusion

Functions of teeth and morphology of uowns of teeth Muscles of mastication and faciai expression Movements of tempera_ mandibular joint Exercise/ Demonstrations

Tooth Carving in wax and plaster. (Crown and root, scale and enlarged models).

SYLLABUS FOR DIPLOMA IN DENTAL MECHANICS

DEryA J#$l,io^,.u

2. (FTNAL)Dental mechanics (Final):

Casting machines: Centrifugal and pressure casting machines, furnaces, principles of casting. Casting techniques of partial denture (Skeletal) clasps, occlusion bars,rest.

setting of teeth and completion of dentures on metal skeletons.

Mechanical principles of orthodontic appliances, anchorage, force, tissue changes and retention. Stainless steel wire-preparation of clasps, sfrings and wires^archfor orthodontic appliances.

Use of various types of expansion screws. Des-igning -. implant supported prosthesis (if facilities available for dental implants.

Ceramic, laminates und uan..rr.

Fabricating:- Maxillofacial prosthesis such as eye, nosc ear, cheek, obturater and splint.

Indirect resin restoration preparation techniques. Porcelain fi ring techniques:

Preparation of removable orthodontic appliances, activators. Retention^{r r}

---'

appliances and oral screen.

C=o,nstruction of fixed orthodontic appliances, bands, tubecl ano arcnes.

Soldering and :q9t welding- soldering of claps, rags. strengtheners and lingual bars.

45

_ 14 k+) q-q-{enq r'-q.r, GF'.fl 25, 2015

u4{1) Inlays and crowns- classification and construction facing & backings.

Casting procedures

Principles of bridge work- types of abutments - abutments and pontics- construction of btidges using po.""luin u.rd acrylic pontics.

DENTAL MATERIALS

- & METALLURGY3. DENTAL MATERIALS AND METALLUURGY Dental Materials:

Comp_osition, properties. uses, advantages & disadvantages the offol lowing materials:_

Plaster of paris: dental stone, die stone Investment materials,

Tray materials, !

Denture ,foe base materials, both cord curing, tooth materials

WAXES,

base plates, zinc oxide, dental luting cements dental ceramics and indirect resin restoration materiars. Dental Metallurgy:

Metallurgical terms,

General

Study ofi

(a). Metals used

in dentistry particularly gold, so;ver, aluminium.

coppr, (b). Alloys used

in dentistry particularly. casting gold gold wrought

Heat treatment-annealing and tempering. Solders, fluces, anti fluxes. Tarnish and corrosion.

Elcctic deposition.

Dental implant materials

BASIC KNOWLEDGE OF COMPUTERS & RECORDS

MANAGEMENT

4.Basic Knorvledge of computers General office routine economics, record-keeping services, professional referral s

And compuring skill;

46

eIrfRT 25 t|vT-9T, T\rNsfFT use' of dudit and indented materials of keeping Record clinicians'from work of dispatch and Receipt ExaminationsPractical IV.

notbut includes, shell practical examination The followingto the limited necessarily

examination Primary I.

models of boxing preparation, beading, Model a. up wax ahd setup denture ideal I Class b. preparationpattern wax and models of surveying RPD c. - materials of dental Spotting d.

materialsdental lab of Manipulation e. ; examination Final II.

FPDunits Three 1.

poringModel

Die-preparation

aPPlicationSpecer

pattern Wax

brodgea;; meta; Casting Pf

(Casted before) crown unit single on application 2. Ceramic Schedule-4

41(2)] regulation [See

HYGIENEDENTAL IN DIPLOMA OF SYLLABUS

TECHNOLOGY

1 PART.

& HISTOLOGY. PHYSIOLOGY ANATOMY, MICROBIOLOGY.PATHOLOGY& PHARMACALOGY, RADIOLOGY & NUTRITION FOOD

PART.2

PROPHYLAXIS. & ORAL HYGIENE DENTAL HEALTHEDUCATION.COMMUNITY/PUBLIC DENTAL

DNTISTRY.ENTIVE PREV DENTISTRY,

DENCE,PRU RI S & J U ETHICS MATERIALS,DENTAL DENTAL

DENTISTRY. IN ORIENTATION

SCHEME EXAMINATION AND T-E4IC-HINq .__i-Dtttib;aion- of M;atkrtk_s-- lDoistiriiibbu"titoi*n i-Dttrib;ail- I Subujebctject *" i "f i nf +ima iI t iofti e , -.-F--.---

- - Exam Per Hours i I I

ltgb------+-------.'T--- r i-\ ;=-1---r= i i JrnlPRlrirhiPRlvivalrotarl

- l-== I I I .-= l=- llnott I --=-_-*--------l-- 'r---f p-H-rfA-NrroMv, lr l- lrlr00iis l2s 1200 I I TPHYSTOLOGY& | | I I | | | | L--]*---l- t--- I ,-l--l- | - - - --l-urqr-o-r-s-qv---, --l

47

121!.)

w1gTq_89?

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t)RADIOLOGY

25

200

)H- Essionai assessment- )RS ^JJ(PRS) r00

r00 Totat -=_- J JJ

l6 300 400 600

TEACHING^AND EIAMINATTON SCHEME

S.

Subject

Distribution Distribution No. of Marks-lof time lrourr^pe.

trxam _-__lI Week

Th PR

T PR

Viva- Total DH-4 vD\rr^rr^vocenlbll|\tr dt 100 )RAL^t)z5PROPHYLAXIS ²⁰⁰ DH-5

DENTAL I

I 100

EDUCATION,COMMUN ^{7525 200}

ITY/PUBLIC HEALTH

DENTISTRY,PREVENTI

YE DNTISTRY

IDH-6 IDENTAL t

I IMATERIALS,DENTAL

IETHTCS &

I

IJURTSPRUDENCE,

IORTENTATTON^rN

I

lDENTISTRY ou- -lS.isio"ut Ais"srmeni- -

0 __ 0 _lPRS J 1r00 ](PRS) - -lTotai ^I

____L___ J

SYLLABUS FOR THE DIPLOMA IN DENTAL HYGIENISTS

ANAroMy,

"rl+S;cy^& Hrsrolocy.(1) ANATOMY, GENERAL AND DENTAL:

Lectures:

General structure of mucosa membrane (tongue, ' lips), pharynx,bones, muscles, blood vessels, tyrnpt u-ti.r'fianas , nerves. Blood A_and nerve supply in relation general io" fu.. inand teeth and associated structure in particular. Elementary knowledge of develop..nt oftt.lu*.

teeth. una

grrl 4

{NREtrFT Tl\JT_q-{ sIrrRI 25, 2015 Structure nomenclature and morphology of human teeth. Eruption, resorption & occlusion of teeth. Relationship of teeth with investing tissues. Muscles of mastication and facial expression. Tempro mandibular Articulation.

' course and distribution of vth and vrlth cranial nerves. Practical:

osteology of head and neck in general and face, including jaws in particular

Morphology of teeth.

Alveolar process ofjaw bones.

Section of tooth in situ.

(2) pHyslol,ocy & HISTOLOGY, GENERAL &

DENTAL:

Lectures:

Cell structure of the human body. Salivary glands, ducts and their function. Composition and function of Saliva. Blood: Compositins & function. Mastication deglutition & phonation. General outlines of the physiological processes of the human body- particularly circulatory.

Practical:

study of prepared histological slides of oral and dental tissue, sections of a tooth.

Routine blood examination.

PHARMACALOGY, PATHOLOGY&

MICROBIOLOGY.

, (3) PHARMACOLOGY, GENERAL & DENTAL:

Lectures:

Brief description,

. nomenclature, derivation, dosage, pharmacological action and therapeutic uses of drugs commonly used in dentistry (Obtundent, astringent, mouih

washo antiseptics)

Practical:

Preparation of gum paints, mouth washes and dentifrices.

(4) PATHOLOGY & MICROBIOLOGY, GENERAL AND

DENTAL:

Lectures:

General principles of pathology- Inflammation degeneration and repair.

49

1?1kd-- RIGR!ry Rr:lr_:g1 wrw_as. qr{i 2015 (C + Applacation of generar principres of pathorogy to tooth and surrounding tissues. Dental Anomalies.

Attrition, Abrasion and Erosion.

orar manifestation of systemic diseases rike diabetes, syph'is,-.-anemia, vitamin infectious .deficiencies--";J diseases like AIDS & Hepaiitis B Infection Contror in Dentar..operatory and Bio- Medicalwaste Management and Handring N."pr^- *ftt ,.f.r.n..to oral cavity. Elementary knowledge of Bacteriology, Asepsis, infection, Immunity, brief desciiption pdh;i;;; ;;i;".,eriotogyof Dental "f caries ad gingival irnrrfrelvcltriovrnrsr..-o- e 'Er Practical:

Study pathorogicar and bacteriorogicar "t-o^:rr"t.l sridesre_lating to oral and dental cJnditions.

clinical demonstration of orut una dental manifestation ofsystemic disorders.

FggD NUrRrTroN & RADTOLOGY- - -DENTAL (sl RADTOLOGyT-

Lectures:

Fundamentar and erementarprincipre of Dentar . radiorogy including *- ru.'in., iiliorpon.nts and \ut maintenance. Basic knowredge of Radio viriJ^c.upy technique & exrra oral Pa"o'ami' (b,tho- pl"i"gr"pr'. and ::i'rff:Xllrincludins Automatic fi lm processing

Caraloging & Indexing of"IOpA films.

Knowledge of occlusal, bitewingand digital radiography. Technicar aspects of Dentar niaiog.ffi-i.'ll^lrr.. taking,processing and m^ounting of Dental iadiograp;;.-..characteristics of ur..piuut" i-ug., factors that influence finished radiographr,' .ui"r^^ oI .aaiullorr^.*p.,.rrion.Radiation Hazards.- Practical:

Taking processing and mounting of rntra & Extra oralRadiographs.

(6) FOOD AND NUTRTTToN:

Lectures:

Basic food chemistry in relation to general and oral Health.Physical nature of diet in pr.u.ntion of dental diseases.

I

!

7

,1

50

{l\'f{€IT;I {|ul-qa{. SIrlRI 25. 2015 Carbohydrates, fats, proteins, vitamins, minerals and water in relation to dental and oral health.

General food requirements for growth, maintenance and repair of the ody.

Assessments & charting of individual diet'& counseling. Effect of malnutrition on oral health.

Special diet and its administration in maxillofacial injury cases.

SYALLABUS FOR THE DENTAL HYGIENISTS COURSE FINAL ( II

DENTAL HycrEN#t?^" pRopHyI,Axrs.

(7) nnnrat, HycrENE AND oRAL pRopHyLAXIS (primary and Final):

Lectures:

Definition of Hygiene

Objective of Dental Hygiene

Oral Prophylaxis- Various methods

. On teeth- extrinsic, intrinsic and their management Dental Plaque

Flossing technique

Dental calculus

Technical knowledge of ultrasonic scaling Brief description and the role of Oral prophylaxis in Gingivitis, Periodontitis, Periodontal and Alveolar abscess. Clinical:

Instruments, technique of Oral Prophylaxis Distaining and polishing of teeth

Copical application of fluorides

Care of oral cavity and appliances during treatment of maxillofacial cases.

DENTAL EDUCATION, COMMUNITY/PUBLIC

HEALTH DENTISTRY, PREVENTIVE DNTISTRY.

(1) DENTAL HEALTH EDUCATIOI{ NCMMUNITY PUBLIC , HEALTH DENTISTRY & PREVENTIVE DENTISTRY:

Lectures:

Definition of Health and dental health Aims and objectives of Denta; health education Dental Health and Children

Steps in preventive program, patient counseling Dental Health Education- Parents, mothers (anti and post- natal), infants pre- chool

Children and grownup Handicapped children

51

rrqgerrq TNT*qt. 3IrrR. 2015 prevalence preventionand 3:Y.:ltes- Prevention -. bvJy --'"'"., frlr u lo uolluoridati ^ renodontal diseases. Saliva in relation to dental

health and disease. habits and Dental Health figtarf nablts and Malocclusion Ural Cancer

Brief outline of historical background pubric of Hearth, Historyof dentistry puUfi. Health Services. Dental "na in .eiution to""gmyunity health. it.#J:p alknowledgrofTopic"fnr"ia"Tporication. practical:

Preparation of models of and iaws teeth- normal pathological and dental .onaiiionr.

drawing *Jo"i"rirg ofposters on dental health "?ffi;iltl- procedure for,TTqing short ta_lks, skits and features dental onand oral health, visual aids. rr""rtii""rted statistics bv conducting a '?lf:,ilili?H

DENTAL MATERIALS,DENTAL ETHICS &UD-ENCE, .JURISPR oiilnTi:auoN IN D BNTIS TRY O, r"r"r, il,*roiooiNcn AND onrnNia fl_"ilffilrl rron

Lectures practical: . &

Difference bgtyeen ethics and law, types of law. imposition, il;;ili", to dental practice ..\?1 code of

Unlicensed practice of dentisitv

Re gul arory fes s;;;il;s"" nro izati o prace 1nd n and funcii* ;i";;;iuf pror.rrion in the society econolt.nffi.,nr invorved there in. $ffiHttffiof Dental prosress' into-"-una fiving {31dard"r;::oi:. Objective and scope of dentistrv.

Dental specialiries

(3) BASIC xNbwr,nncr or COMPUTER Generat office routine,*;;i;;.;"'.H

. Loo*i-^ _ keeping professionai services, unl"."*.,il V VrrrY q

,-|fi :11g. DE NTAL MATERIAii

52

Lectures & practical:

General knowledge of various Dentistry material such as used in impression material, waxes' gypsum investing products, materiars and various temporary fiilt;;^ and p-ermanent materials,cements, orthodontic implant material materials andused in maxillofaci"l Recognition ;;i;aip.ostt ""d esis. gd.knowledge of various a.rtui"frfiment stores used in dental^andestabrishment. organi

stores' zation storage of dental and accounting, handirg ""rJ-."irtenance dental items, assembry ofand mirior repair of dental equipment. Schedule-5

,,.,;{l,llusorniprotieae;il:ffi itfllut."re.r,norogy I Anaromy^& physiology

? Compurer & Commuiication 3. SkillsBasic Bio Chemistry^pathology

4. t luli"ro Bpilovl'ovg'ryBasic obstetrics ancl Gynecol;;

5. General principal of practical: Htspital fru.tir. awnr^de pr aqLtirewnuLt Cv'ra'rre o Anatorny & physiology

o Basic Bio Chemistry, pathol

o^ogy &Micro BiologyBasic obstetrics

o^and Gynecology O.T. Instruments & Technique"' ' Hospital Training 45 Days after finar examination Second Year

2]

Entrepreneurship & professional

. Management Environmental &Bio Medical

3. Wu;l" ManagementPatients Care education

4. and Intensive Care Introduction unitto Anesthesia

5. TechnologyBasic Anesthesia Technology

6. Applied Anaesthesia tecnnJiogy Practical:

I Patients care education o and Intensive care unitIntroduction to Anesthesia o TechnologyBasic Anesthesia Technology

. Applied Anesthesia

. technologyO.T. Instruments o & Technique Hospital Training 45 Days after final examination

53

t' ,fl-,T 4 (.f) l Examination Scheme for (1't year) Diploma in Medical Operation Theater Technology

Subjects

Hrs. Per Theory Exam

Maximum Marks Week Paper

Hrs. D.O.T.TFirst L T P

t.A. Years Exam

Iota Anatomy & ) T J

A B

Total Physiology A B

lota¹⁰⁰ l5 I

30

J) J) 70

Computer & 2 I

T

aJ

l5 t5 30 Communication ^{3535 70}

r00 Skills Pio Chemistry 5

T ^III

&³⁽

J:Pathology, ^{3:7( 100} Micro Bioloev

Saslc obstetrics 4

T

aJ

30

and Gynecolosv

70

r00 General 4 2

T J

30

Principal

of ⁷⁰¹⁰⁰ Hospital Practice and Patient Care Practical:

Hrs Practica Exam

Maximum Marks Per I Paper Hrs.

IA Exam

Iotal Week Anatomy & J P

A B

fotal Physiology A B

Tot )U al

8 7

l5

l8 t7 Bio³⁵Chemistry, & J P J 8

l5 Pathology, l8Micro l7 35 50 Biology

Basic obstetrics ^aJ

P

J

t5 and Gynecology ³⁵

50

O.T. Instruments & 2 P J Technique J) 50

Hospital Training Operation Theatre Jepartments, CSSD

45 Days r00after final ¹⁰⁰ examination

800

All theory paper canies a maximum of r00 marks out of which marks 30are for internal Assessment and,70 is for council practical exam. Ailpaper carries a maxim,m of 50 markr ort or *t irr, ts i,

for internal Assessment and 35 is for council Exam. And hospital training each 100 hundred marks.

PAPER. I

A (ANATOrvrv), B (PHYSTOLOGY) r. The human body as a whole Definitions, Subdivisions of Anatomy, Terms of locations and position, Fundamental planes, vertebrate structure of man, organization of the Body cells and Tissues.

II. Locomotion and support. The sketetal system.. Types of bones, structures and giowth of bones, Divisions of the rtll"torr, Appendicular skeleton, Axial skeleton, Bones of Upper Limb _ Clavicle, Scapula, Humerus, Radius, Ulna Lower fimb _ Femur. Hipbone, Sacrum Tibia, Fibula Vertebral Column, Ribs, Stemum, joint-classification, types of movements with examples. III- Anatomy of the nervous system. central nervous system:

Spinal Cord Anatomy, functions, reflex- arc, Meninges, The Brain- Hind Brain, Midbrain, Forebrain: cerebrum, cerebellum Brain stem: Brief structure, location, functions, and peripheral neryous system (structure of neuron)

rv. Anatomy of circulatory system: Heart size, location, coverings, chambers & valves of heart, Blood supply, Nerve supply, blood vessels, General plan of circulation, put.nonury circulation, Names of major arteries and veins and theii positions, lymphatic system: general plan.

v. Anatomy of the respiratory system: organs of Respiratory System, conducting portion, Nose: nasal cavity, para nasal air sinuses, Larynx, trachea, bronchial tree. Respiratory portion:

Pleurae and lungs, Brief knowledge of parts and positioh. vI. Anatomy of the digestive system: components of Digestive system, alimentary tube, Anatomy of organs of digestive tube, mouth, salivary glands, stomach, intestine, liver, Billaiy apparatus, pancreas, Names and positions and brief functions, vII. Anatomy of excretory system and reproductive system. Kidneys: location, gross structure & function structure of nephron, excretory ducts, ureters, urinary bladder, urethra gross structure & function. Male Reproductive System: Testis, Duci system. Female - Reproductive System:

vIII. Anatomy of the endocrine system. Name of all endocrine glands their positions, Hormones and their functions- pituitary, Thyriod, parathyroid, Adrenal glands, Gonads & Islets of pancreas.

IX. Histology-Epithelium, connective tissue, gland.

55

Pt(:4L---- rrrrr a (q) Anatomy Practical:

o Demonstration of bones identification and side determination upper limb-clavicle, scapula, humerus, radius, ulna, lower limb-temur, Hip bone, Tibia, Fibula, Vertebral Column, Ribs, Stemum, Sacrum

o Demonstration of heart.

o Demonstration of different parts of respiratory system and normal X-rays- lungs.

o Demonstration of the part of digestive system and normal X- rays- stomach, small intestine,

o large intestine, liver.Embalming of human cadavers for teaching purposes & sociar/ funeral embalming

o Surface anatomy on cadaver.

o

' Demonstration of major vessels of the body-Aorta, subclavian,carotid, brachial, radial, ulnar, o femoral, renal. Demonstration of major

o muscles of the body_limbsDemonstration of other organs_spleen,

(B) testis, uterus. PHYSTOLOGY:

General Physiology: cell: Structure and function of Transport a cell,across the gell membrane Active transport, passive Transport: Diffusion & Osmosis, Tissues: Definition, tyf"r, Body Nervewater and body fluids: Distribution and tonic body comiosition fluids The oMembrane potentials:

f

Resting inembrane

potentials and Action potential

!19d' composition and functions of blood, wBC, Blood cells: RBC Platelets, Hemoglobin, coagulation factors), of blooa Blood groups, icr"rrrr"ei Immu-nity,: Anaemia, ilundice, Hemophilia

Gastrointestinal Tract: Structure and Functions oral

composition cavity: and functions of saliva, Mastication (chewing),

Swallowing Stomach: Structure and Functions, Gasiric juice,

Gastric motility and emptying pancreas: structure and Functions,

composition and functions ofpancreatic juice Liver:

Functions Struclure Gall^andBladder: Functions of gall

composition bladder and Bile: functions Intestine: Intestine juice

movements^andBalanced diet Applied aspect

Respiratory System: Air passages: Function and

Functions of structure, respiratory systeni, Mechanism

(Inspiration of .espiratron and Expiration), Lung volumes and capaciti.s Alveolar ventilation, Dead space (Aiatomical and physioiogicary

Transport of gases: Oxygen transport [Caniage oi'o*lg.n in

56

qTI 4 (.f)

uNaTf{ {|-fr-q-I, slrfkl 25, 2O1S 121b5\ blood; Dissolved form & combined with hemoglobin], Oxygen hemoglobin dissociation curve, carbon-di-oxide transport [carriage of carbon-di-oxide in blood]. Regulation of respiration:

Nervous Regulation [Automatic control via Medullary and pontine centers, voluntary control of respiration], chemical Regulation of respiration [Peripheral chemoreceptors (carotid bodies and Aortic bodies) and central (Medullary) chemoreceptorsl. Hypoxia (Types of hypoxia), Dyspnea

cardiovascular System: Properties of cardiac Muscle Physiological structure and function of cvs (valves, pacemaker tissue,Heart sounds) cardiac cycle Heart rate Electrocardiography, cardiac 'output Arterial blood pressure Regulation of cardiovascular system

Excretory System: Nephrons: cortical and medullary urine formation Micturition Functions of kidney: Endocrine functions, Water balance, Acid-base balance

Endocrine System: Definitions and properties of hormones Pituitary Gland Anterior pituitary - Six Hormones (GH, pRL, TSH, ACTH, LH, FSH) Growth Hormone (GH): Action and control, Applied (Dwarfism and Acromegaly) prolactin (pRL):

Action and control Posterior pituitary ADH (Anti diuretic hormone): Action and control, Applied oxytocin: Action and Control Thyroid Gland: Types of hormones (T3 and T4), Regulation of hormone secretion, Actions of thyroid hormone: on carbohydrate metabolism, on lipid metabolism, on growth and development, Effect on nervous system, Applied (Goiter, Hypothyroidism, Hyperthyroidism) parathyroid, calcitonin and vitamin-D: Role of calcium in physiological processes, Hormones regulating calcium metabolism (Vitamin-D, prH, calcitonin), Applied: Rickets Adrenal cortex: Actions of glucocorticoids, :

Actions of Mineralocorticoids, Applied: Cushing's syndrome, Addison's disease, Sex hormones Adrenal Medulla: Actions of catecholamines, Pancreas: Hormones: Glucagon and Insulin, Applied: Diabetes Mellitus

Reproductive System Sex determination, Sex differentiation and Puberty Male Reproductive System: Testis: Structure and functions, Spermatogenesis, Structure of the sperm, Seminal fluid (semen), Endocrine functions (Testosterone) Female Reproductive System.Structure and functions, Ovary, Ovarian hormones (Estrogen, Progesterone) Menstrual cycle: Menopause Contraceptive measures

57

121

Rl\rNefFI {luT-q-{. 3flfKl 25, 2015 Central Nervous System Organization and functions of nervous system Brain: Cerebrum, Thalamus, Hypothalamus Brain stem:

Midbrain, Pons, Medulla, Cerebellum Spinal Cord: Structure and functions Autonomic Nervous system (ANS) Cerebrospinal Fluid Special Senses: The Smell: Olfactory receptors, Olfactory pathway The Taste: Taste Receptors (Taste buds), Taste Pathway The Ear:

External ear, Middle Ear, Internal ear (Cochlea), Mechanism of hearing, Applied (deafness) The Eye: Parts of eye: Sclera, Choroid, Retina, Crystalline lens, photoreceptors (Rods and cones), Visual Pathway, Image formation, Accommodation, Lacrimal gland, Applied (Cataract, Glaucoma, Blindness)

Skin and Temperature: Structure and function of skin Temperature Regulation^;

Practical:

o Collection of blood

o Study of haemocytometer. Haemoglobinometry white blood cell count, red blood cell count,

o Determination of blood groups.

o Leishman's staining and differentiate WBC counts. o Determination of packed cell value

o Calculation of blood indices, fragility test for R.B.C. o Er).throcyte sedimentation rate (ESR)

r Determination of bleeding time.

r Determination of clotting time

o Blood pressure recording auscultation for heart sounds, artificial respiration determination of vital capacity. Recommended Books:

1. Text books of Physiology. Author: Guyton (Arthor C). Prism publishers Bangalore.

2. Human Physiology. Author: Chaterjee (cc). Medical allied agency

3. Concise Medical physiology. Author : Choudhary (Sujit km.).

. New central books Kolkata.

4. Review Medical physiology. Author : Ganang. Application and Lange.

5. Human physiology. Author : Pro. A.K. Jain. Avichal Publishing Company.

6. Practicdl Physiology : Author : Prof. A.K. Jain, Arya Publishers. PAPER II _ COMPUTER & COMUNICATIONS SKILLS

A. COMMUNICATION SKILL

COURSE OUTLINE

{ (.T) _Vq.Sryqq_-g?-qryE2s, _2oqt_s _l?1kl) COURSE DESCRIPTION: This course

is designed to help the student acquire a Good command and comprehension of the English language through individual

Papers and conferences.

BEHAVIOURAL OBJECTIVES :

The student at the end of training is able to l. Read and comprehend English language

2. Speak and write grammatically corect English

3. Appreciates the value of English literature in personal and professional Iife.

INTRODUCTION:

Study Techniques organization of effective note taking and logical processes of Analysis and synthesis Use of the dictionary Enlargement of vocabulary

Effective diction\

Unit -l

l. Parts of Speech (Definition of all the sight parts along with examples and their use in language ) Articles : Definite and indefinite Articles (a. an and the ) Definition and its uses with along examples and personal, Reflexive, Emphatic -, Demonstrative, Relative, indefinite, Intenogative and

distributive pronouns

2. The Noun (Defining Noun arong with types and categories ):

Gender; Number Case, The Adjective: Comparison, adjective used as nouns, positions of the adjective and its correct use of adjectives. The verb Definition. Its forms, verbs of Incomplete Predication.

3. Phrases (Defining it along with examples) : Adjective, Adverb and Noun Phrase and clauses (defining 1t arong with examples ) : Adverb, Adjective and Noun Clauses.

4. The Sentence and its types, Simple, Compound and Complex , Subject and Predicate (Parts of a sentence ), Transformation of sentences : Active and passive voice, Mooci and Narration (Direct and indirect Speeches)

Unit-ll

l. Words and Phrases: Word Formation (perfix, Suffix), Idioms, Synonyms and Antonyms

59

' yrqrsrE Ce) lzt

2. Phonetics: Speech Sound, the phoneme, the syllable and IpAtranscription Business Correspondence:

Unit -t

l. Paragraph Writlng : Introductory principals, Remarks, The Writing paragraphs of Single p.."i, una W.itlng.-.-^"' 2. Letter Writing, O;; euotat[ns, and Tendersilnviting and Sending placing quotations, ora"i, and inviting tenders. Unir -II Notices Agenda , and Minutes ] 2. Application Letter: Importance and function, drafting the application, elements structure, preparing CVs. -III: AppLrED GRAMd{;-P{T 3. Correct usage

4. The structure of sentences

5. The structure ofparagraphs

6. Enlargements of Vocibuta.y TINIT. IV: WRITTEN COMPoSITIoN:

wliting and summarizing 11.:ir" Writing of bibliography Lnlargement of Vocabularv

Suggested Reading: Grammar and Composition Wren ^EleJish and Martin. S. Chand A C-ompany il.'"(B) Computer:

l. Computer Application

Characteristic of computers.

a.

Ilput, output, storage unites. b.

CPU, Computer system. ) Computers Organization a.

Central Processing Unit. b.

Control Unit. c.

Arithmetic Unit. d.

Instruction Set. e.

Register. f. Proiessor Speed.

2.2

Memory a.

Main Memory. b.

Storage Evaluation Criteria. c.

Memory Organization. d.

Memory Capacity.

60

._-.-y

I

./.-wa (q) qrqqern e. Random

F. Access

\1

Memories.

Read St ' o . r age DeuLs. Magnetic Disk

ii: Floppy and Hard Disk. lu. Optical Disks iv. CD_ROM

2.3 Mass Storage Input Devices a. Keyboard.

b. Mouse.

c. Trackball.

d. Joystick

e. Scanner

f. Optical Mark Reader h. rvrugn.tis;

'. i*.nB,lL!:nff:l-Digitizer.

ii. Card reader.

iii. Voice recognition. iv.^IWeb cam.

2.4 outpurv;en,..Yto"ocameras. j

a. Monitors.

b. printers.

i. Dot Matrix printers.

ii. Inkjet printers.

iii. Laser printers. c. plotters.

9^ Computers Output Micro Files(Com).

3. projector. op..ating a, arrX*tttedia Microsoft. r. An overview of different version windows. of

ii. Basic windows

iii. .File elements.management through windows. iu. . _.Using essential u.."uroii", ,'Syrt"rn l"-"-! ?yk cleanup. Disk defrag*Lrrr,Enreftarnment, Games, Calculator. Imaging - Fax, Notepad, paint, Wordpad. Rerycle

61

,{FT 4 (rr) .:

Bin, Windows Explorer, Creating Fol.ders, Icons.

4. Word processing:

a. Word processing concepts. b. Saving, closing, opening an existing document.

c. Selecting text, editing text. d. Finding and replacing text. e. printing documents.

f. Creating and printing merged documents, Mail merge

g, Character and paragraph formatting, page design and layout.

h. Editing and proofing tools; checking and correcting spelling.

i. Handing j. graphics. Creatin! LUi., and charrs. k. Documents templates

5.^and wizards. presentation packagei a. Creating opening anjsaving presentations. b. Creating the look

.^of your presentation. c. Working in different views, d. working with slides. Adding and formatting text, e. fo.rnuttTng fu.ag.aptrs.Checking spelling and correcring f. typi;'jmistakes.Making notes pages and g. handouis."Drawing and working with

h. objects. Adding clip art and other pictures.

i. Designing slides j. shows. Running and controlling a k. slide shows. printing presentations. Unit-l : Use at Internet and E-mail l.^:Internet.

2. Websites (Internet sites).

3. The Mail protocol site. Unit-2 : Hospitalllanagement System : Types andUses. ^-___l_ Hospital Management and 3ystem p;.i";;.REFERENCE BOOKS :

l. Foundations of computing first edition,

Author.' 2002.P.K. Sinha and p. Sinha.

2. Microsoft office 2000 for windows, second pint, Indianperson education. Aurhor.. S. Sagman. { r

62

I

T|\tRaIT;I T|ul-q-l

3lrfkl 25

2015

Paper 3 (A) Biochemistry & (B) pathology, Microbiology lst year:

(l) Acids and Bases. Definition. definition of pH and its interpretation.

(2) Water and Solutions. Osmosis.

Molarity, Molality, Normality. Buffer solution and their

importance. pKa of buffer solution,

(3) chemistry of carbohydrates: Definition, classification, Structural Isomerism, Optical isomerism. reactions.

(4) chemistry of Proteins and Amino Acids: Definition, Structure and classification of Amino Acids. Essential amino acids. Definition, Structure of proteins, Functional classification of proteins.

(5) chemistry of Lipids: Definition of lipids, classification of lipids, Phospholipids, Gangliosides, Cerebrosides, Glycolipids, Lipoproteins (definition, crassification and functions) Chemical reactions of Lipids.

(6) Chemistry of Nucleic acids: Structure of DNA, RNA classification and structure of the various types of (7) RNA. Nutrition and Basal metabolism: BMI und- it, calculation, Specific dynamic action (sDA) , Nutritional requirements and

their calculations. Protein energy malnutrition.

(8) vitamins: definition, classification, Uses in the body and deficiency diseases.

(9) Clinical biochemistry:(for MLT

(a) course only) Photometry: Laws of photometry, absorbancg transmittance, Structure and components of a photometer. Types ofphotometry: colorimetry, spectrophotometry, flurometry. Choice of filters etc.

(b) Electrophoresis principal types and applications. Practical:

o Introduction to apparatus, instruments and uses of chemical balance.

o Preparation of solutions, calculation of molecular weights and Equivalent weights preparation of normal solution, -Jlu, solutions, percent solution and reagents Dilution o techniques. Measurements of hydrogen ion concentration qualitative Analysis. Identification of carbohydrates, proteins and substances of biochemical Imporlance.

o Demonstration ofcolorimeter, spectrophotometer, perimeter, single pan balance.

?q.?!$ o ____ro10)Disposal regulations, o workplace hazardous.Specimen collection, identification, transport, preservation. delivery and

o Patient preparation

o for tests. Anticoagulantsandpreservatives

o Regulations and precautions regarding transport specimens of biologicar

o Preparation of high

. quality water pH determination o Preparation of buffers o^and determination of pHMeasurement of radioactivitv o Practicar related to solvent extraction, partition Dialysis, coefficient,Concentration,

. Desalting and Ultracentrifugation. o Calibration of equipments o uid luborutory wares. Familiarizationand usage of colorimetry, fluorimetry,

specterophotometry, o flame photometry, atomic absorption spectroscopy, nephelometry, osmometrv.

o chemiluminesence,ion seiective erectrodes, flowcytometry. ' chromatog_raphy : - paper, Thin rayer, Ger firtration, exchange, HPLC, GLC, J' Ion o Separation of various sugars, amino acids, etc. lipids, Urine drugs aminogram. toxins

!nL_f alr ot o gyo Micro bio lo gy : r YEAR 70 HRS

UNIT I The Cell in health

a.^and disease l0 HRS Introduction of pathology

b. Cellular structure

c.^and metabolism Inflammation _ Acute

d.^and ChronicDerangement

. of Body Fluids and ElectrolytesTypes

. ofshocksIschaemia

. Infection UNIT 2 Body Fluid 20 HRS

a) Urine:

. Method

. of CollectionNormal

. ConstitutentsPhysical

. ExaminationChemical Examination

64

ru_fil q.'r*enq vrq-t{-r, srrw zs, zors rzr(og)

b) Stool Examination

.^:

' Method of Collection . Normal Constituents

. and appearance Abnormal Constituents (Ova, Cyst)

c) C.S.F. Examination

. Physical Examination

. Chemical Examination o Microscopy

. Celll Count

. Staining

d) Semen Analysis

. Collection

. Examination

. Special Tests Human blood group antigens and antibodies

b) ABO Blood group

. systemsSub.

. -groupSource of antigens and types of antibodies

c) Rh Blood group

. System Types of Antigen

. Mode of Inheritance

. Types of Antibodies

d) Other Blood grup Antigens

e) Blood Collection

. Selection and

. screening ofdonorCollection of

. blood Variousanticoagulants

. Sotrage of Blood.

. Changes in Blood on Sotrage

UNIT 3 HISTOPATHOLOGY 25 HRS

a) Fixation of tissues

. Classification of Fixatives

b) Tissue Processing

. Collection

. Steps of fixation

c) Section Cutting

. Microtome and

. KnivesTechniques of Section

. CuttinsMounting of Sections

. Frozen Sections

d) Decalcification

65

. Fixation

. Declacification

. pointEnd Dyes and their properties, H & E Stain, Special ;).jlTrtr pathology,Clinical Histo pathology, Haematology and Blood Banking Histopathology _ Theory

- Introduction pathologyto Histo

- Receiving of Specimen in the Lboratory

- Grossing Techniques

- Mounting _ Techniques various Mountants i Maintenance of records and filing of th.,iia.r.v^rsvu' - Use & care of Microscope - Various Fixatives, preparation Mode of action, and Indication.

- Bio_Medical waste management

- Section Cuttins

- Tissue pror.rrLg for routine paraffin sections - Decalcification of Tissues.

- Staining _ of tissues H& E Staining

- Bio-Medical waste management

pathology Clinical _ Theoi

- Introduction pathologyto Clinical

- Collection, preservation, Transport, processing and ofvarious clinical

specimens

Urine Examination preservation colrection and - of urine.Physical, chemical, Microscopic F.xamination - Examination of body fluids.

- Examination o.f cerebro spinal fluid (CSF)

- Sputum Examination.

- Examination of feces

Haematology _ Theorv

- Introduction to Haematology

- Normal constituents of Blo"od, their structure and function.

- Collection of Blood samples

- Various Anticoagulants used in Haematology

-tiaematology,instruments and glassware used in ar.o"r"iLfllf,Xs

66

TI4D__ {rq{amT TM:q-r, 3rrrtr 25, 201-5_ __It(qd of glassware

- Laboratory safety guidelines

- SI units and conventional units in Hospital Laboratory - Hb,PCV

- ESR

- Normal Haemostasis

Activated Partial Thromboplastin

Time.

, Blood Bank

Introduction

Blood grouping and Rh Types

Cross matching^;

Practical:

7. Introduction: Aim, basis, interpretation, safety in clinical pathology laboratory.

8. 2. Laboratory organisation : Instruments, glassware's, sampre collection and specimen labeling, routine iest, anticoagulants. reagents, cleaning of glassware, isotonic sotution, standardization of methods, preparation of solution and interpretation of result, normal valuis.

I Basic requirements for hematology laboratory.

2. Complete Blood Counts.

3. Determination of Hemoglobin.

4. TRBC Count by Hemocytometers.

5. TLC by Hemocytometer.

6. Differential Leukocyte count.

7. Determination of Platelet count.

8. Determination of ESR by wintrobes.

9. Determination of ESR by Westergerent's method.

10. Determination of PCV by Wintrobes.

11. Erythocyte Indices - MCV, MCH, MCHC. I 2. Reticulocyte.count.

13. Absolute Eosinophil count.

14. Morphology of Red Blood Cells.

15. BT,and CT, PT (prothrombin) time.

16. Demonstration of (Mp), malariaparasite. 17' Bone maffow smears preparation and staining procedure Demonstration.

18. ABO Blood grouping, RH typing and cross match.

67

switr _qq__u, lrm ?e, ?et!____ _r1 rto f :T|'_ ,,.;;..a."rr aggrutin#:lj'&..,.:li#,[;il;"ffi

20. Blood donor.selec;;; # i.reenrns.21. Blood coltection frin.ipal of clearing ",rd;;;;;;lon, rransfusion'Uotite and rubing * sets ffirii"?l, preparation l:d

"^, .oo"rrCoi,i,iA;illT;lltheirinvestigulion,.

I. Btood B^unk ao-rrrJri""ri""-... a) Record f..oinn b) computeriiiiio? in brood rransfusion c) services. pl9"o e.uptng-A;o d) tynLe;";i;;;;;.hniques.'srrvur rs 1H 2. cross rvrut"'rrinf

a) Tube tesi

b) Slide Test c) . DU Tesr

d) Sub Grouping _ Tr!eos!t r---c' 3. Combrs Test a) Direct comb,s test b) Indirect."*U ,L,4' comparib'itv-Testinfi="r ur""i tllslrgion cross a) matching 5o/o tesr. ceil suspension una roz b) HIV and AiOS ".ji."il;il".a.rr""srrarron.pathologl.: Clinical ' interpretation, safety in crinicar ffiHfffi#?bsis,

' zati o n-. rnsrrum enrs, as s ware, .-T', sl :#:"jffi-"11t p sam r e en I abel i ng' tlutini lotttt r.rr, reagents, .,.un untr, ""i."u!ut gJutt*utt'l'otonit,ot rii;;"""o*standardizari""t:fl :l preparation of solution l"r.rp..iuri"" and ].":::l"ds' . il;*ili"'j"i;llH:ffi1#111,".,"" ;;*;;.

o ",C.S.F. and other body fluid examination. o Semen Analysis.

o Sputum test. o Different types blood test. . Stool routil n*'* r Jnilo ;#T" ffi ce b o l. oks (La Hand " tes book lt:;,."., t E of dirion)Blood f.""rfrri""Tf,.rupr. Author: J.A.F.

68

w

I

CTTIT 4

zf

,::*i":.;:if;,;i:i1yii:1,['n:,,tr:n="rEng,and ''iL?;:';,i:,::il'i,":

iii?i"l,l1*Hfi 3]i i:'"*5.'*,,;"lf B:trc and rransrusion :,:,:!;i!',i#:ff:''#" &:I'J;:.u, Rhdman. p,tti,Tni',r;. gomnu;;:,';"({:;"riil]t Sauders . practical 4. Hae

Aurhor : sir John Churevtt,, pubtisher Datie . a"#Slllogv' : . r. t est Book of Medical Laboratorv Godkar Author praful a n".ri"i#;"tff:fl-Technolosy. : Sood' Pubitsher : eh;liani'p-ubli.ution tuturu#nik fouse, - technorog ; +n:':::' llflo":'ry jj,,i::,i;f;

ih:li'"tHil*L""'i:llo,",abora,;:;;;:{:!{ Henry.thotogy. Au.i ho,r ;r;;J; ilr.jffill i. fiff[:i,,:;

a proc"dur" normal *;rr,,itf"technology for rourine. .^, lyyh* (B) Microbiotogy:

r neorv

Unir I

General microbiology o Introducion 4 & hrsof microbiology lil"r, y"$"rogy and n,r.i","*r"oiiu.r"r,u I o, ". ",and ai.inr..iil,n .Sterilization Unit II Immunology

o Antigen and 5 antibodies

hrs o Antigen _ antibody r.*tion, o Structure and n system o Immune ".ii"". response "l#mune l. .HlR..rensitivityUnit III

Systemic bacteriology o Staphylococcus 15 hrs o Streptococcus o Pneumococcus

o Corynebacterium

o Neisseria

o Clostridium

69

q_@t_ r

o Enterobacteriaceae :

. Escherechia,Kleibsella, proteus Salmonella^, e Shigellapseudomonas

o Vibrio

o Mycobacterium

o Spirochete

Unit IV

Virolory

. Morphology ll hrsand Replication o of viruses Physiochemical characteristics o of the viruses Classification of virus o Laboratory diagnosis of viral infection ; o Herpesvirus and adenovirus o Picorna Virus- polio

o Myxovirus- Influenza

o Arbovirus- Chickengunia

o & DensueHepatitis virus

r Rhabdovirus

O HIV

Unit V Mycology

. Morphology⁶hrsand structure o of funsiClassification of fungi and Cultirration of fungi : Laboratory diagnosis of fungal infection Fungal infections o Superficial mycosis

o Subcutaneous mycosis

o Systemic mycosis

o Opportunistic fungal infection

Unit VI

Parasitology

o Introduction t hrsto parasitology with their classification Protozoa

o Entamoebahistolytica

o Giardia lamblia

o Leishmania donovani (kala azar\

Helminthes

Cestodes

o Tenia solium & Tenia saginata

70

qt T {o=__1rqry{n lrd-q-{, _q5_ 25 .2.0_15-__ l?1@)

. Echhinococcusgranulosus Nematodes

o Ascaris lumbricoides o Ancylostomaduodenale o Wucheria bancrofti o Enterobius vermicularis & Trichuris trichuria Practical

Bacteriology

o¹⁷hrsUniversalprecautions

o Collection and transport of clinical o specimen Compound microscope ( care and operation) c Demonstration of sterilization of ecluipments- Hot air.oven, bacterial filters

o Preparation of bacteriar smear and staining- Gram,s, Acid- fast, Staining of bacterial spores, flagella capsule, Albert stain, spirochaetes

r Preparation of commonly used culture media, nutrient broth, nutrient agar, blood agar, Chocolate agar, Mac conkey medium, LJ medium,SDA, Robertson

r cookecl meat niedia,study of clony charecters ,biochemical test fbr identification of bacteria, preservation of stock

o culture of bacteria Antibiotic susceptibility test - different in vitro methods for antibiotic sensitivity teiting

r visit to hospitar for demonstration of biomedical waste

management

o Anaerobic culture methods,

o Quality control of media and reagenrs erc.

Parasitology

Practical parasitology

o⁴hrsExamination of stool fbr parasites

o Examination of blood & bone marrow fbr parasites

Serological diagnostic methods, Skin teit.

Immunology practical

s⁶hrsCollection of blood by"venepuncture, separation of serum and preservation of serum for short

o^and longperiods.Performances of serological tests (a Bacterial slide agglutination

(b WIDAL,VDRL,CRP

(c Pregnancy test

(d ASLO, CRP and RF

71

14Q9) vv-yz vwln 25, ,lTrT_(o2015 lTit-{fl -__ (e ELISA o Skin test

(a MT Test

Mycology practical:

3 hrs o KOH and LpCB preparation

o Staining techniques

o Culture of fungi

o Slide culture

Total theory hours 50 hrs

Total practical hours

40 hrs Paper 4- BASIC OBSTERTRIC AND - GYNAECOLOGY To work as operation rh.ai.e i..r,rri.iun-",#Tniriau"rn' knowledge of obstetrics a cynaecologyh is essentiar hence this subject is introduced to give briei tn introductory knowredge ; which helps the technician-to take some precautionary measures tooperarion tools reaJy accorOingly l.:ry:gt_._{ in advance. OBJECTIVE : Student should U. uUi. to , 1. Understand the type of delivery unO Oirora., 2' Keep the instruments and tools reluired ready we, in advance SYLLABUS:

1. Pregnancy

2. Normal delivery forceps.delivery twin pregnancy

4. Birth control methods and contraception 5. Medical termination pr.nnun.uof -'6_ Analomy of female,.* orgin, Gynecological examinatioi and diagnosis 7 8. Disease of vulve disease STD in female 9. "f "d;;; Disorders of menstruation l0' Prolapsed uterus Fibromyomas of uterus endometriosis variousovarian tumors

I 1. Gynae examination instruments speculum & dialator12. Instrument of common gynecological und ob.;;;i;l pro..drr.,or surgery Practical:

o Identification of instrument and trreir specific use in the surgery o Surgical assistance in the Obstetrics & GynaecofogiJ operations

Instrument for normal delivery & caesarian section MTpHysterctomy preparation pirysio,"r,." of changes pregnancy of

72

qFI 4 (.r) quNeil-q T|uT-q-t. 3lrlkl 25.

2p15 __*12_?a o Anaesthesia in early pregnancy o Antenatal assessment of the pregnant woman o Medical diseases complicating pregnancy

. Pain rblief in labour r Anaesthesia for operative obstetrics o Emergencies in obstetrics o Neonatalresuscitation

Paper 6 General Principal of Hospital Practice and patient Care

Suggested number of teaching hours 100 including tutorial and demonstrations. This section is intended to emphasis to the student technologist the importance of patient welfare. Many of the points included in this section may be considered during the tbaching of other subjects also but it is strongly urged specific teaching and as much practical demonstrating and instructioh as possible should be given in this section.

Modern hospital treatment is based on team work, it is essential that the student should appreciate the technologist role and that the importance of co-operation with wards and other departments. The students should be attached to wards or the accident and emergency department for a definite training period the length of time being suited to the individual hospital.

Hospital procedure :Hospital staffing and organization records relating to patients and departmental statistic professional attitude of the technologist to patient and other members of the staff medico legal aspects accident in the department appointment organization minimizing waiting time out patient and follow up clinics stock taking and stock keeping.

care of the patient First contact with patients in the department management of chair and stretcher patients and aids for this management for the unconscious patient elementary hygiene personal cleanliness hygiene in relation to patient (for example clean linen and receptacles nursing care temperature pulse and respiration essential care of the patient who has a tracheotomy essential care of the patient who has a colostomy bedpans and urinals simple application of a sterile dressing. First aid : Aims and objective of first aids wounds and bleeding dressing and bandages pressure and splints supports etc Shock insensibility asphyxia convulsions resuscitation use of suction

73

t21k2)- apparatus -w:E-w=q-%l(Ddrug reactions prophyractic measure administration ofoxygen elecrric shock buins scalds points langnrrag;;;;rr.. Fracture splints bandaging"-ai"Jng foreign ;:il::T:ifr:*o Infection: Bacteria their nature u.nd appearance spread - of s inrection tr,. i,,n u-matory .o;-;;; ^'^Ll.tion ;lfi"::'t#t",, reaction general body reaction ulcerationaspects

"rd "r,irt:;:e. Principres of asepsis methods of sterilization -sterirization use centrat ofsterile d.pu.;;;; care of .ru?ply identification instruments of surgicai'dfu*irgr-i"'lo.*on use incruding firamentswabs' erementary operating-theatre proc"or* ,.ii"g oi t.uy, unoradi oth e.opyi.p*. ;i ;;"01. a* ilf ,.ll, ;1::fn,J,lhe

"trrerapy Departmbntar proced.ures : Department staffing and organizationrecords relating to. patients una l.pua-ental statistic professional attitude of the technorogis, ;'"ilt and other members of staff the medico regar urp..i, the departme't appointment organization "..ioi"ii" minimizing rvaitinf ii-. out patient and'iollow up .,:*.taking una ,t.r r...0,"r. *T]: rrrugs in the d cne.rinf *;;HiiJ#fi [J#xT":'J:lffif :i,ix:"JTf,,::imeasrrbment special drugs unid.prJryve -- antihypertensive -vrrver etc. BOOK FOR STUDy:

Deeley-A guide to,Radiotherapy nursing Living stoneCare parient of in d;!t^"g*phy Chesney & Chesney filsnoslt.c care of the patienil;;il""stic pauline Radiography ;3:lHJ;'

Aid to Tray and frlllg Setting Marjorie -'^ErJvr

HougtonFirst Aid-Haugher & dardner-o A guide to Oncology nursing (Livingstone) Deeley ""'""O.T. Instrument c r""r,"ii;;; cox uno'storing in o.r, Sterlization and fiffiH;:t;|rm

GENERAL SURGICAI- PRINCIPLES AND The surgical patient, operation

'NSTRUMENTSroom technique . INSTRUMENTS T]SED FOR PREPAIRING SURGICALCheatles forceps,rampely,s rpong.- froi.iing forceps mayo,s towelchip,esmach,s bandage, Simple tourniquet, pneumatic toumiquet;

74

INCISION MAKING METHOD AND INSTRUMENTS :

parker^BaTdknife handle, major abdominal incision, artery forceps and their types instruments used in homeostasis, Kocher,s forceps,

electric cautery.

RETRACToRS: Single hook retractors , czemy's retractor, s, nerve hook retractors, Morris retractors, deaver,s, retractors. woLrND MANAGEMENT Seissors and its types sucking material and techniques,disinfectants and

irritants, dressing procedures,different types of bandages, surgical needle & needle holders,

various types of suture material

Identification & Demonstration of working of the equipment Anesthesia Equipment

I Boyle's Machine & it's functionins

2 Boyle's vaporizer

3 Magill's breathing circuit, Bains breathing circuit, pediatrics anesthesia circuit

4 Gas cylinders and flow meters

5 Carbon dioxide absorption contester

6 Suction apparatus-foot operated, electrically operated

7 Ambubag laryngoscope hndotracheatubes

8 Catheters,face masks, venti mask

4 Pre-anesthetic mediation

5 Local Anesthetic agents

6 Spinal Anesthetic agents

7 General Anesthetic agents Identification & demonstration of the rvorking of equipments Second Year

Examinatioqr q-heme

j Hrs. Fer Theory^ExamMaximum MarksSunlects Week Paper

Hrs.

L IT

I.A. Exam Enrreprenetrrshlp Totaldt 2

I

T 3

l5 35 Professional 50 ' trnvlronmental dt.tsio 2 I

T J

l5 35 Medical 50Waste Management

rauents uare 4 J

T 3

30 70

r00

75

qlq 4 educationind- f-ffiffiffi.g

3

2 / TAnesthesia {

70

r00 /'or Basic Anesthisia

li3

2 a TTeclngLogy

-1-30/ 70

r00:rrrrvu nllcstnesla a J

z a TI echnoloov 1i

30 70

r00 ttlaxirnum nfaE gasic anes-thEil Techno

Hospital i;inintB op erati on-Trr diJD$irtmh[uays after final profess h ip

i on a I ::lT:"t M a I * n ": a gem ilTi,TT en r medical As Programmersthe opporruniri.:Ht::lPara i"i?ii*;"druT:;T"',1ifi1:;:-t:ff dayby ffi $li'ilf *,*1i.*-#,,i,ir"1,:h_st:i,,r1ff #,,.h:#li;.Tr orT ;::,:T "',*";;;. outsi TTIT'.;|: de the Go them vt :1, the necessary se*ing skiils d forenterprises in ";#tttp. tl ""j^i*r"r"g course incrudes ,n.tu't j:'fiFiH:Tr"l'i'S,1A?: ;#;ff i,:5## :Tu,, organization it is ji: essentiar . ;;;ril .H?:,r;1,1r:tir,l'i t&*l:,

q 4 (D-- tzt(zs) the knowledge of principles of management personnel management and financial management is

required l. Entrepreneurship:

Definition basic concept need, scope

and characteristics of entrepreneurship. Women entrepreneurship Assistance to small scale enterprises from national level organization like SIDO, NSIC NRDC KVIC

Assistance to small scale enterprises from State level organization like DOI,DIG RFC RHDC pollution "Rajasthan Control Board Khadi &

Facilities to omen entrepreneurs.

Schedule-6

[See regulation 41(2)]ⁱ

Syllabus of Diploma in Dialysis Technology

The course shall include the respective iubject as givei'in the table below, the minimum number of hours to be devoted to each subject-lectures and practical shail not be than those noted against them

Subject

Allotment of Oral & Marks in Theor

Practical Including Clinica Assessment)

100

Function and its I Paper II: r00

25+75 I Fundamental

of Dialysis i Teclrnique

3. I Paper lll: 100

25+75 _ lVatrgeingDialylysSisiq !^It_qeegure

4. Paper 1 lV: r00 I vance s Dialvsis -A_dⁱ I _ojelyl! Total 400 400 all written examinations shall be of three hours duration.

3. Examinations:

Sutrject

Allotment of Marks in

(lncluding Clinical Assessment 25+75

25+15

ry

77

tzt(zo) Tr"r*enarcqgrrw:!.2015 qr-q a (q) Fundamentats oTDEtys is

Paper III:

Dialysis Procedure

Paper IV:

Advances in Di

First year

Theory : 60 Teaching Hours:

Anatomy & physiology

(Normal kidney structure and functions): 4 hours Derangement of kidney functions

(aetiology, clinical manifestation, diagnosis of renalfailure):8hours

acute and chronic Dialysis - the concept ( Brief history, definition mechanism) : 4 hours Components of Dialysis

(Access, blood flow, anticoagulant, dialsate Hemodialysis ) : 4 hours - Basics

( Blood circuit tubing pump, dialyzer,flow rate, dialysate concentrates, circuit,delivery systems, flow rate) : l2 hours Anticoagulation ( Heparin, alternatives to Heparin, anticoagulation) regional no:^g hours

Y3r:ul.ur access (Temporary, permanent) :^g hours Dialysis water and water treatment : 4 hours Dialysis andDialyzer (including r.ur.j : 4 hours

Hemodialysis machine : 4 hourJ

practical : Ig0 Teaching Hours:

A. Demonstration : (20 x 30 = 60 Teachin-g Hours)

Demonstration of

o d Hemodialysis unit

o Demineralisationplant

o Machine

r Intiation of Dialysis

o Conduction of Dialysis

o Dialysis - closure o Washing, cleaning,

o reuse Maintenance of Hygiene

o in Dialysis u'nitAccess - core o Anticoagulation

78

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SIrfqrI 25 2015

121

B. Actual participation in Dialysis Procedure : 120 Teaehing Hours including clinical evaluation of patient

Second Year

A. Complications of Hemodialysis : 12 hours

o Access related complication

. Dialyzer related complication o Dialysate related complication o Anticoagulant related complication o Machine/Blood Pump associated complication r Special type of complication

o Maintenance of hygience in Dialysis unit o Acces - core

o Anticoagulation^;

B. Doses of Hemodialysis : 8 hours o Duration, index, clearance

. Middle colecules Ura reduction ration o Urea kinetic modeling" Dialysis adeqacy C. Doses of Hemodialysis : 8 hours o Continuous Dialysis : 10 hours o Continuous venovenous hemofiltration o Continuoushemoduafiltration o Continuous slow hemodialysis o Componerit access, tubing, filter, replacement, fluid, Antigoagulation,^fl ow^rate

D. Peritoneal Dialysis : 30 hours

o History, Perotioneal physiology, kineties technique, catheter, dialysate fulid, insertion procedure, drainage, complication. o Continuous peritoneal dialysis procedure, dose. Practical : 160 Teaching Hours^:

. Actual conduction of Hemodialysis : 140 hours o Actual conduction of peritoneal Dialysis : 120 hours

. Clinical assessment of patients List of Books Prescribed o Handbook of Dialysis

By John T. Daugirdas (Editor), Peter G. Blalke (Editor), Todd S. Ing (Editor)

o Actual conduction of peritoneal Dialysis : L20 hours By Judith Z. Kallenbach MSN RN CNN (Author)

. Peritoneal Dialysis : From basic concepts to clinical excellence

flZqL v-q-{.rrr rm-qr, crt-ftr 25, 2pjs^qrq + (q) By C. Ronco, Carlo Crepaldi; Dinna o N. Cruz Basic Clinical Dialysis

By David Harris, Grahame

. Elder, Lukas Kairaitis, GopalaRangan o Replacement of Renal Function by Dialvsis By John P Meher

o Nutritional considerations in Indian patients on pD By AditiNayak, Akash Nayak, Mayoor prabhu and K S Nayak

. Chronic Kidney Disease, Dialysis; and Transplantation BY: Mohamed H. Sayegh (Author), Jonathan Himmelfarb (Author), Mohamed Sayegh (Author), Jonathan, M. D. Himmelfarb (Author), Mohamed H., M.D. Sayegh (Author) Publisher: W.B. Saunders Company i

Schedule-7

[See regutation 4l(2)]

44qs^of Diploma in Orthonedir

SUBJECTS

PAPER I - Human Anatomy and physiology Introduction to the body as a whole The cells, tissues of the bodv The cell: Structure, multiplication. Tissue: Types, structure, characteristics, functions Epithelium: Simple, Compound

Connective: Areolar, adipose, fibrous, elastic, Cartilage, blood and bone

Muscle: Striated (Voluntary), Smooth (lnvoluntary, Cardiac) Nervous tissue

Fibrous tissue

80

w l41g Cell regeneration Membranes: Mucous, Serous, Synovial Osteology (including whole skeiton, bones and joints) Development of bone (ostogenesis) : Cells inv Types and functions of bone, Types ofjoints and various movements.

AXIAL Skelton:

a. Skull: Cranium, face, air sinuses

b' vertebral column: regions, movements and characteristics c. Sternum

d. Ribs

Appendicular skelton:.Bones involving -Shourder girdle limb,^and upperPelvic girdle and rower timu, uJaing of bonlr, ."liutu. activity, Factors that deray healing, Diseases of bones and joints. Musculoskeletal System

Anatomy of Joints & its function.

The Respiratory System:

a. Organs: Position and structure

b. Nose and nasal cavities

c. Functions: respiratory, OlfactorV

d. Pharynx

e. Larynx: Functions - respiratory, vocal

f. Trachea, Bronchi, lungs: lobes, iobules, pleura Respiratory functions: Externar and internil respiration, common lerms relating to disease^and conditions of the ,yrt._, PAPER II -Pathorogy of Muscle & Bones Joint conditions Backache and Neckache

Orthopaedic Conditions in Childhood

Minor &Adult Disorders

Common Fractures

PAPER III -Orthopedics and Traumatology

Fractures and Dislocation:

definition,

fractures healing,

types offractures,

General principles of treatment,

Common fractures of upper and lower extremities.Skull,Spine Radiology - Basic Interpretation Skills

I|TER IV -Physics of Orthopedic Insrrument & its Maintenance

81

-:

Surgical diathermy, Suction machine, oT table,

systems, Jtrhtening Ii]:r: rumrgation. Orthopedic Instruments

OT table and aftachments,

Autoclave instrument

Handling and care

Inrensi fi er (c onventi onat & Di gi ,""-r"rfi tal) P*e Procedure&rmpranrrechirorogy

itl"Tilh,|i1?!:ff

of plaster paris, of f-ffnertigs rreparation of paris o]:.r,"l of bandages, Different types of slaU, unJ.u."i'*"

Lorrecr method ol{nntinS.taf, unO *,," .arts,Speciat plasters _ pfB;; FCC. u vt\" --i plasterremoval. "

Plaster cutter and associated instruments. Casting & Splintrng

braces and Traction

plaster its advancement ]Vn"1of

Dressing and Dre

ql fijpl

ean r i n e f,:i,*f s s ",f,?[li:H'J"fi I trolley, drums: preparation contents maintenance. and Dressing material: ,y,pr:, preparation, use and sterilization.Different types of sof utio,i, ;ililri, ssing viz peroxide,;;"ldirg hydrogen Iodine etc.

Medi cated dressin gs vizS ofratull ey, collagen etc.Basic. principles oi bandagins.

involved in the desien, fabrication and ,filtt#ft use of orrhopedic

Orthopedic Implant Mechanics and Materials

3ili:Ht'j;|'"'o."*,i,l"i",il#;;:"ointerracing.

ttnee Joint Replacement

82

qrrl 4 (o {rs{al|-q t|uT-qt, 3lrfkl 25, 2015 __ _?1o0 Ankle Joint Replacement

Fractures, Fracture Healing and Non-Surgical Fixation Surgical Fracture Fixation

PAPER VII Operation room techniques & its Management Reception of patients in OT premises, Scrubbing, dressing,

Tourniquet and it's application,

Growing, painting and draping,

OT fumigation and UV lights,

Autoclaving.

Preparation for Anesthesia.

Reception of patient,

Shifting, positioning for anesthesia, Check out procedure.

Sterilization:

Definition,

Classification of sterilizing agents, Physical methods of sterilization,

Importance of sterilization.

Sutures:

Absorbable : Surgical catgut, collagen sutures, synthetic absorbable utures etc.

Nonabsorbable: Silks, cotton, polyamide, polypropylene, stainless steel etc.

PAPER VIII :-Patient Care

Fundamentals of patient care

Definition,

Introduction: general environment and cleanliness. Proper disposal of ward waste,

Beds: bed making, posturing in bed, special beds viz pneumatic, rvaterbeds.

Hygienic care: care of skin, care of hairs and nails, oral hygiene, iare ofpressure

Points. Exercise and activity: Principles

of good posturing and body behavior,

Moving and lifting patient, posture changes assisting patient in attaining^'

Ambulatory status.

Promoting urinary and intestinal eliminations: offering urinal, bedpan,

Observations of urine and faeces.Maintainins nutrition.

83

YIUReIFT yfq-qt, G{TRf, 25, 2O1S Maintaining fluid and electrolyte balance. Maintenance of inpuvoutput records. ural rntake measures.

Management of acutely injured:

First aid,

Transport,

Resuscitation methods.

Infbction Control procedures

Legal & Ethical Responsibilities Medical Errors

PAPER IX Biomechanics& physiotherapy Biomechanics

: -Mechani.r or tt .'rruirrun Biomechanics musculoskeretar of system l,\:""1, il;l;;ilerties

.

bone, articular and mechanics cartilage, oftendons and the.Lower iigaments. Limb, Biomechanics majorjoint, of Including "i,h.l;;er timb,the bio_mechanics Upper Limb and Spil., _ d.;""'-1f-;-i.-;; lY;i;ir;;r;$"?ra!,'troiolrnt'' of the forces acting l: th." spine during tifting.

ur n

r l Physiotherapv of Sqine., 6pg", Limb (Shoulder Joint, Elbow joint, il':iij,l[ij}f irb' ai".J;;)g11. Joint,pharynges erc ) .trauma/inju,yrop..#i:i:*:ffi::verv rrom'

-'Err'6\

Schedule-g

o" $r'f

,., dI""rABus ,lliilf itr ;i?,rE cHNoL o^{c y}

Practical

(duration/

Communication-rkill, i,

Enelish

Iu*ll anato,ny- a

Pathology &Tenxi

*- Fcc instrurnent a Hospital TaininfiZt days (After the final exam)

84

14kai---- RTW:F 3[{_-g?.orrfir 25, 2o1s

IryJ-fD

4 Delivering ,b short discourses :

." About oneselfDescribing a place, person, object ] Describing a picture, photo 5 Group discussion:

* Developing skill to initiate a discussion (how $ts to open) Snatching initiative from others (watch 6^ for weak points Expand etc..,a topic- sentence into 4_j sentence narrative:

Computer applications:

Is!+qgn tg!' d sqapslgrlgg! cp

Cont*is^-,

85

TIUN€]FI {luT-q-{. SIrfkT 25. 2015 121 shows, Running and controlling a slide show, Printing Presentations.

Use of internet and Internet. Websites ( Internet sites). The Mail suite.

Hospital Management - Types and Uses, Hospital management & System Package, Advanced Hospital management System X O Hospital management System, LCS Hospital Management information System, NVISH Hospital Management System, q!q4:49!p4qlVerqe:qe!!!y9!9 m- _

Huq1an A,netoryy_{ Plysjglggy

i - unit i

Contents

t -[TheⁱHffi; B;dy- D;r'n-itons.s u6-aivisions of Rnalomy. rerms of I i I l ^ o ^ c ^a a : t ^ i - o n a ^- n l d - p ^ o ^: s +: i ^ ti - o n, F n. u ,. n ^l d ^* a ^ m -r^ e l ntal - p t^ la .^ n ^^ e s, - v ,^ e a r ^ t L e , b ^. r ^ a te s ^r t . r ., u ,^ c .. t . u -^ r e o ^r f I i i

man, org4!1za1tio4 gf!l$_.bodJ_ggl!,!gques. ______]

12 | The Skeletal System - Types of bones,.structure and growth^{of I}

] | bones, Division of the skeleton Appendicle skeleton, axial skeleton I

] | name of all the bones and their parts, Joints classification, types of I

r _ i moyements with examples._ |

] : I Anatomy of Circulatory System- Hearts Size, position coverings,^I

Chambers, Blood supply, never supply, the blood vessels, general

plan of circulation, pulmonary circulation, names of arteries and

veins and theilposition lymphatic systeln general plan. __

Anatomy of the Respiratory System - organs of respiratory, larynx,

trachea, bronchial tree, Respiratory portion, pleurae and lungs, Brief

&e*le4_s_qlpe4ry!q_pesiie&

Anatomy of the Digestive system- Components of Digestive system,

Alimentary tube, anatorny of organs of digestive tube, mouth,

tongue, tooth, salivary glands, liver, bleary apparatus, pancreas.

Names and position and brief functions.

Anatomy of the N;;ous System - Centil nei";us syste;, tl" l

brain, hind brain, midbrain, forebrain, brief structure, locations. and^j

peripheral nervous systerr, spiral card, anatorny, functions, reflex - j

Arc. mdnase. iniuries to soinal card and brain. I

Anatomy of the endocrine system - name of all erldocrine glands

their position, hormones, and their functions - pituitary, thyroid,

id. adrenal slands, sonads & islets ofpancreas.

n*io"ry of-E-iiietory Syrt"" and *p-d"rti"" ' fKid;"yt

10

1

I

L {q!p!9! dlleqry 4 p-tqte i !!lte9 tl9p9!9!!: ! Legg 9-o qp q^{q j}---49-o

86

tzt^(eo)

{rq{q-|-{ {tvT-tl?{. GIT|KI 25, 2015

5ry 4_F) i of heart & their function. Cardiac output, E.C.G. Blood pressure, I [_ _ⁱ ]^H_^ea!^rte ^Re^a4^teI^.q !,e,--,_ ____, .ⁱ. ]

i l l I Respiratory system - Function of respiratory system, functional I (plrysiological). Anatomy of Respiratory system, mechanisrn of ] ] respiration, lung volurnes & capacities, transport of respiratory ] I gases. F- ,--_--- I -- - .-i I [ f 1 7 2

-

|| Dniese.tsi

]

tiive svystem - func ii t i ion of di i s g e e s s ti i v iv e i s y vsf t er r n n t , lr l ncf t in io - n - " - a - u l f- a u n * a r r o n r m y v I I of digestive system, composition and function of all digestive juices, I

] movernents I o- f d- igo-e--'s tive- s-Jy-'-s"'tem (intestine), Digestion & absorption i

L_ _ Lq&qrbobyCryle,Ii9l,_glq &&1!._-,_ l

___,-] I 1J3 Ilf u F n un c c rl t o ion ofI nervous system - neuron - conductilon of impulses. jj ] j factors effecting, synapse transmission, reception, reflexes. I

i I ascending tracts, descending tracts, function of various parts of the I I i Brain, cerebro spinal fluid (CSF), composition, function^{& ]}

I circulation. lr.rmbar puncture, Autonomic nervous systern-and its I ,^I, . _J lre.t function of (AN_S) ,l

I 14 j Special Senses - Vision - Structure of Eye, Function of aifferentl i I parts Refractive errors of and correction. Visual pathways, color I | | vision & tests for color blindness. Hearing, structure and function^{of ]} l__ | ear,a_e_gbqlpnlqlhearinglest for hgqryg Gq1fngssL_ ___ - ]

I l5 ] Muscle Nerve Physiology - Type of muscle, structure of skeletal i i j muscle. sarcomee, neuromuscular junction & transmission, I

I - -1-Zrc-LLf{4

Q -cp4!ac!ign qupllirg (m-e-ghqrysm of contraction)

ii l6 I Structure and function of skin - bodvy temoperature-, fever res g r u rlaf t i i on

]

L

j 1=7 :{1eruu4ul ^I| Excretory system - excretory organs, kidneys, function, nephorn, I i I juxta glomerclar apparatus, renal circulation, mechanism of urine | | formation, mechanism of maturation, cystomatrogram, diuretics, I ] artificial kidnev.ⁱ

'i8-i st-.tur" anofJnCtion oaGp'odr.ti"e - Male iep-roorciiuelJrt.,n. l 1 | tp*r*atogenesis, testosterone, fernale reproductive systern, i I ovulation, menstrual cycle, cogenesis, test for ovulation, estrogen &

]

I progesterone, pregnancy test, parturition, contraceptive, lactation,^j l_ I c,qryposition of mi!\,e{yeryege! 9lbry9!!f9941!g._ _, i -c-L n iqi"4--QrrdlqlqgyiUnit

it Contents -I l j Introduction & History of ECG.

87

w-rlD-__IIEs[-j_Rrq:!E-!uK?q, 2015 tzt@) vrrwrrrorrvrr ur ntrinr, \_arutac cycle, Uardlac lmpulse formation & conduction, Recording rong axis cardiac erectrical activitv- {eco rd i n g short _qli s card i ac e I ectri c_al agliyrly. Recording __the Electrocardiogram, evoiution of frontal plant leads, Transverse plane leads, correct & incorrect lead

placement, Electrocardiography lead placement, Display of

12 standard electrocardiogram leads. In perpetration of normal ECG, ElectrG cardio_ graphic featur"l Rate & regularity, p wave, pR interval, eRS complex, St segment, I1ygyg,_Uf ygyg._Q TC i nte^rva l, C ard i ac rh yth m. Interval measurement, horizontal-- meas;ement. vertical ne$ulem94 gcqfryqye's_'_qt_efyel& rygn1glls. i Hearl Rate - Introducrion, tvteasuring of rreartiates using c7lipei --lr orwJ Jl tS udl lPtrt ,

1

e t eitri cat-n-xi s : -oetermi nJG eL".tri.ar aiiil-"",-ar ilr, RAit-l LAD, Methods of electrical axis estimation. '

I

@ras,^S upratenrric u I aim *"rrlcuGifdih rnc-i Blylttmf-c_p1$_rders. ___ ' -'l

H"S*ty -"" ?n::Itr:,1:t rvrr rnrury & inrraction on ECG, manifestation ofⁱe wave infarction, manifestation of non- I Q vwe infarction, anteriord infbrction, Antero-Lateral infarction,

inferior infarction. ⁱ

C.hamber enlargem@o-norction o.r."t, av

block First degree, AV block second degree,

AV AV block third degree, block bundle, Branch Block, RBBB, LBBB ctrailUer

enlargement, RAE LAE, Hypertrophy, Right ventricular

hVoertronhv l L q e L fl y v e e lq nf & rin U r, e I l o ly r p hr e rn r a tr r e -rr p ^^ [y 1. _ ., B o : l i y ,^ e -. ! - t , 'p ^.. ! r ] - s -- r r ! - -..- Clinical Cardiology - (Practica

Unit Contents

BDa4s)riuc Prrrnin'lcpipaarls orf ilnstruments, Recorrdiing the electro cardiogram,

Correct & incorrect lead placement, ciest leads, Lims ileads.,

Display of l2 standard read ECG, Recognition & interreration oi

ECG, Equipment, usage (pediatrics/AAulti.)

I n d i c ati o n, c o ntra i n d i c at i o n, R epai r & ffi trnailre , G per.-it o s, calibrations) and servicing, ECG Monitoring in ICCU patie " n t, Recording of holterAtress ECG, Arnbulatory Bp. tvtonitory,

operation of 2-D !cho/M. mode Dopprer and cnv system to iis

maintenance, operation of TEE a"d its maintenance, ICCU

monitoring, practicable in assisting Temporary- pace_maker/

permanent pace maker, _c:ronary Angiography, Coronary AngioPlasty, Balloon Plasty, CRT, CRTD etc.

88

!t(ee) - g\'R€nq q|cl-q-{. slrf{tT 25

2015

ulo & Termin Contents Introductory pathology - cettutar aaffi inflammation and repair, infection, circuiatory disorders, i;;;; d"fense, genetics of disease, neoplasia, Ceil injury unO uaupiution, Atrophy, hypertrophy, metaphase, hyperplasia, classificaiion of tumors, premalignant lesion, Type of inflammation & system manifestations of inflammation, Disorders of vascurar flow (Bri9f & ihockintroduction), Oedem4 hyperemia or congestion, thromboses, embolism, infarction shock, ischemia, Over hydiation, Dehydration, The Response to infection, Categories of infectious ug.nt , t,o.tbarriers to infection, how disease is to caused, inflarnmator] ,..po"r;infectious agents, Hematopoietic and Lymphoid System, hemorrhage, various type of Anaemia, leucopenia, leucorytosis.

bleeding disorders coagulation mechanism.

Circulatory - Hypertension, Coronu.y artery ntr*g;"nr,n,"lrr,

Cardiac Arrest, Shock, Deep Vein thrombosis (DVT), E[C, ;D

Echo Cardiogram, Coronary Angiography, Cardiac Catheterization,

Stress test, Pacemaker,- Renal, Niptrroilc- Syndrome,

Infection Urinary ira"tRenal/Bladder Stones, Intiavenous pylography,

Cystoscopy, Urinalysis, Hoemodialis, peritoneal Dialysis, Niruour,

Stroke (Cerebro Vascular Accident), Brain Tumor, Brain tnlurie.,

-Sry1"! Cord Injuries, LUmbar

puncture, Myelography, Cf"ican.

MRI, EEG, EMG Oncology, Investigations, tumor marklrs, RECIST

Criteria for response evolution.

P,99 I4$Iument and Maintenance (practica Contents

ECC ReC

t^.Sl.

j^:11 ".".,r#,,F": i i::":0,:

r^d { H o lrer/stre s s patient E in C G M ICCU, o n i to r i n g Ambulatory B.p. Monito.i"g. bp*"'ri;;;';;;:ii i ::T1y:y*_p_ooo':'. dg cpvr" iy_""* its operations of mainrenance. TEE and. its Maint.nun".,'tCiu in ni"rri"r,"*,"6'r';;

*ff:i*, assisring in Temporary pacemak.rfp.rn,un"?i p"uJ"

Indication &

of equipments,

CFM system its

r{ospital rraining for 45 days after the final examination

IInd Year

i l; course-ritref TheoryNo. PracticaJl -l(duration/ (duration/

Pharmacology lgqrqrgq\

hours week Ii

2

@ 2 Techniques l5 _

3

y (x trlectrocardrogram

I5

;+

vvrrsr4r rr rnclpat oI Hospltal

:^P

5

_^ra-^c-^t-^ic-^e_ and patient care 5 Hospital Training fo.?j Auy. e&IL::I3l"I3*)_

Pharmacology:

A knowledge of concern disease and drugs where structure after theand funciton of the heart is essential foiinstrument technician.

" Cardiac Drugs , Effect of drugs and ECG Chanses - Toxicity of Drugs and ECG Ch-anses. Electrocard

lf& Ieqr4qqer:

Unit Contents Introduction to EIec@* psychological of E.C.G. conduct Velocity glectionnvsiol.,o, basis

Central of Wilson

111p9)_ vrwqern qr,n-in, Grq,ffi 2s, 2o1s qrrr 4 (g Augmentation Esophagea lead pathway of Vector Conce

Normal Electro gram - Atrial Comptexes, n+-ntervaf, qnS Complex S.T. Segment T- Wavw U-wave e-T- interval, Electrical Axis, Heart Position Interpretation of an ECG, How to record and

ECG.

Abnormal Electrocardiogram - aunoimat p-wa"e tntraventricutar Conduction Defct, RBBB, LBBB, Incomplete, LBB, LAHB, LPPHB, Non Specific Interventricular Condition, Defect Bilaterai Bundle, Branch Block, Trifasipular Block, WpW Syndrome. LLawn Ganogn, Levine Syndrome, Mahim by pass hypertroptry, Right Ventricular Hypertrophy (RBH), pulmonary embolism. Clrronic Obstructive lung Disease (COLD), Biventriculai Hypertrophy, Overload rt, Diastolic Overload. coronary artery disease - Ischemia Injury inf'racting subtle atyplcar non specific Pattern conduction defects and infnaction localization ofinfraction wpm and acute myocardial infarction atrial infraction, VCG inⁱmyocardial, infraction atrial infraction" VCG in i disease, heart trauma malignancy invorving heart electrical arter proarrhythmia; parasystole, group beatig; AV _ Disoocation !9fqg9 ie pointsl&\ s_4qi ry!4foltq__

ECG as a clue to clinical diagnclsis, purrnon"arv stenoriss tricuspia tatresia atrial spetal defect ventricular sptal defect ebstein anomaly coriect trtransporation of great vassel mirro image dextrocards;m anomalous brigin of left cornaro artery Rheumatic fever mitrial yglggqlqpsed athetetes cardiac pacing act.

Electrici

& Electrocardi Contents

Simple electron the watt, Propefties of electric charge, Capacitor, Electronic potential/ potenti al d i fference €ALDpryfAaAQ.Eeq. of A C C i ic u its.

91

qtcNen=T RtcT-q't. 3I'IW 25. 2015 121t91 Magnetism/Electro Magnetism/Electromagnetic Induction, Magnetic Poles/fields/ flux and influx density, magnetic field due to a straight and circular coil wire, Relationship of the electrocardiogram to the electrical events of the heart, Relationship of the electrical events to the mechanical events of the cardiac cycle, Waveform components (P,Q,R,S,T and U), Definitions and normal ranges of PR interval and QRS duration, Measurement, of QT Interval and calculation of corrected QT Interval (eTc) by I I BDia1zsert.rt..ss florrmnula,, CLallculalttion oIf tInhe hneafnt rate f1rroom the ⁱ i I electrocardiograrn. f----- |-::-- l -------,1

] 3 ] The appearance of the normal resting electrocardiogram, i I i Recognizes the normal variations of the electrocardiogram in I i relation. tg 1F., State of activity, body build, ethrric, origin, ] I i Recognizes the normal electrocardiogram and some common i i i abnormalities:- Rhythrns arising from the sinus node, normal sinus

rhythm, sinus arrhythmia, sinus tachycardia, sinus brarlycardia,

sinus arrest, Supraventricular tachyarrhythmias, Atrial premature

contractions (ectopics). Atrial tachycardia, Atrial flutter, atrial

fibrillation, Supraventricular tachycardia, Accelerated AV nodal

(Junctional rhythm), Conduction abnormalities, Ventricular pre-

ex,citation. Left and right bundle branch block, l't degree AV block,

2"" degree AV block: (Wenkebach), Mobitz II and 2:l block,3,d

Iee&e!u!s1e)AY_!lee^k.

Rhythrns arising from the ventricles, Ventricular escape beats,

Ventricular premature beats (estopics) Ventricular tachycardia,

Ventricular flutter, ventricular fibrillation, veutricular standstill

(asystole), The electrocardiogram associated with an artificial

cardiac pacemaker, Identification of pacemaker stimulus on the

electrocardiogram, differentiation between atrial and ventricular

pacing, Interpretation of changes in the electrocardiogram arising I

from abnormal cardiac conclitions, Ivlyocardial ischaemia-,

I

Myocardial infarction, Left ventricular hypertrophy, pericarditis, Qe4llqgqdj4$qenliql EQq Interpretation. _

This section will comprise of three 12 -leadECG.s taken frorn thel following list - Complete heart block, Left bundle branch block. Right bundle branch block, ventricular fibrillation, Atrial fi brillation, Ventricular tachycardia, Narrow complex tachycardia, A!!!9ll9l9rq1!9! m y_9 r 4!qig,!941c t.

Aims and obj---ive-r r'rsti-ios *oirai ina uiieoi"g oreiifnug ia"nd bandage pressure and splints supports etc, shock insensibility, asphyxia convulsions resuscitation, use of suction, apparatus, drug reaction, prophylactic, IneasLlre administration of oxygen, electric

92

1a4 I^^\ tlt\e2) {uf{€Trq 3r.l\lfl {|-fr_qr r5,-a01 5___ __T,TlfD ulceration aspects

""d ""tt*ptis. Department procedures, nepartment statting;d orga;izatio; records reiating patients to and departmental itatistic pr6fessional attitude of the technologist patient to and other members of the staff medico legal aspects accident in the department appointment organization minimizing waiting time patient out and'iollow up clinic stock taking and stock

checking regulations regarding dangerous and other

drugs units of General

Princ I ofH ital Practice and

tient care Contents F"+_- H"rnruf j-l irroceCure tt"W,t"f st"mrg - *.*,I "nd "rg;"ir*", relatrng patients to departmental, I statistic professional attitude of the ] patient and o.-_th..e.-.r ...''.."'rJ ' members ovrf trhrre! sJrtqa, frfr, lilsuluu medico letrBgalI 1t . .--_ ; l.li:]oSlst ut.p:.rs.. accident in the department, appointment, organization, I ] .ll,'nrzrng waiting time, outpatient and follow up clinics, stock I I s_regk I _Jet

management of chair and stretcher patients and aids for i this

, and objectiv. of f^ uid, *or;"OJanO Uf eea - nfanaI 1]*: pressure and splints. supports etc. Shock insensi-bility I :11,1_"g."r asphyxia convulsions resuscitation use of suction apparatus d.u! reaction prophylactic rneasure adrninistration of oxygen erectric

pr.essure points j cornprission til i i :P:I .!u11 lSlos.hemorrhage

i dressins _]+ryAlg$ltEr_-qal4eg1ltg fore_ie! b9{guq!p-ons. | , _- o their narure and appearance spi-iA ot ini6ti";J]i i llli ,,-?l .ts_acteria - auto rnrection or cross infection the inflammatory process j i i local tissue general reaction I I hodv reactinn rrlnprarin- 6o^a^f- | r^eesliueersr4 ^-+:^^-^:- ^^r bqov-rs4qau4-"srq!'9n +!ae-c_tr_q!qqu*9psi!._ i i . i 5 Principles of asepsis Sterirization I ;;rhoa; ] of n;ririr"ti;iG ] central sterile supply "f depar-tment care of identification of instruments i

surgie al dressings in common I use including filament swabs

' I efemenfgrv nnerqfinc fhao+.^ n-^^^r,.-^ ,, . l ta y ^^+.r-^- operating -c- theatre procedure setting ofirays uno troti"vr-in 1 I l _1!Eraqlol!erqw_qepe{u9.n!,_____ l_. l ) -------_--li 6 Do^.,.t-^-+^l ,---:-;:-'..-'--- : Departmental ^-^^^.J..-^^ procecrures o.pu.t*.nt srrrrg uno organizaiion l , i records rerating -:.:....t) patients tvo sarnrud dvvepqarrLlrunlEelnltt4all l i nal re!,vr[r s[ta1tuis5tuic prolesslonal I . :_ I attitude , '."ffi?#,#i of the trecnhnoorloggrissrt partrient rto and other rnembers m r

of the staff 1 ",, i I :l:T:: :rl: l ! _ltrqg1co_Eget _e!p991!_qc_qid.nl_,tl1g_d.pq.t,""q)nl_I3 p!9bl,n9!t appo ntment l

]

93

zors (gg) rzr organization minimizing waiting time

patient out and follow up clinic stock taking and stock keeoi in the department -?ruqr. checking regulations regarding dangirous and other drugs uiits of m eas u re m e n1 rpg cfq! gs_gl lry i s ve aqlfyp e rte n s i v Jetc.1q.e_E_gs qecgicify, Cardiogu ler!41qu9(plrolfga}

--- Uniti -l-----4--- Conients vrr f lrr fJ I"tr"d,"ta"ffi .t*ffi strLrrnentation ano irre -r basic. principles of lead theory needed for the effective and safe i practice of electrocardiography. understands the function of the controls paper of the E.C.G. machine, pilters, speed, Gain t_eaj selector, Manual/automatic operation, understands care of the uipment, Care of recordi

Battery malnte'1anfi-c61iTF'i.ra, melectrodes. Application and connection to Electrode poritlon..

understands lead system Uniporar and biporar reads, Einthoven,s

theory and application, Wiison's central terminal, Uas tanguage .its gl_ggrnrnlllcation difficulty, is infectious or is in isolation. -ttt. Evaluation of the recording to arters foil"r"c".ding,

SCST ".ed certificate of Erectrocardiography Syilabus 2010. R;- - recording as appropriate, Recognition ind etimination or ,.au"tiln of artifacts, Labeling of completed recording, u, uppro;riate;

cleaning, preparation storage of equipment i..uOV io; ?nd subsequent' Recordings, incruding correct sterlriiation uno I

oirporui procedures. L p&e1+4t!t! t e_c qt) trpllrdiqery llGra ttic ,Unit Contenti I Introduction to equipment, Sitnple *ug", lnAi"ation ?i. Contraindication use, Repair and Maintenance of equipments, ECG I Recording pediatric/adults j patient, Operations ,,rd ";ii;;;,i"", operation of 2-D Echo/M.Mode dopprer I and cFM system iis

1 maintenance, operation of TEE und its Maintenancl, ICCU I I j Monitoring

lI l"'""""""6'

3 otherlracticar in paiernaker/p"ri',un"nt aisisting- in iempolary i I pacemaker' operation of 2-D Echo/M.Mode Dopprer and I cFM I marnrenance. operarion of TEE and its mainrenance, I :Ir::T .rrs , practical Other in assisting in Temporary i l5:r..-I\4oniroring, pacemaker. pacelnaker/peflnanent , _ __l

94

s^qrq + (q) Hospital rraining for 45 days after the final examination Schedule-9

SYLLABUS DIPLO$T ;iT;$"dJ I?i" TECHNOLOGY

COURSE CURRICULUM:

l" Year

MICROBlolocv a e IoCH EIVII STRY

HEMATOLOGY

Paper III cENERAL lnavuNoiocV BLooD coNapoNsNTSaeLooD DoNATToN Practical& Viva VocG

TRANSFUSToN rnEnnpV

IMMUNoHAEMAToL

Paper VIII QUALITY CONrnOr_ lN BLOOD BAl.lKrNC & LEGAT

ASPECTS.

RECENraoveffi

TECHNIQUES

Practical & Viva VoG pApER - r - MrcRoBr#3H,"*"frt.rnMrsrRy l ' Introduction to Microbiology, Fundamentals of microrcopy, steril ization and disinfection

2' Groups of Micro organisms, Micro organisms staining techniques

3' Bacteriological media, pure curtures and culturar characteristics, Bacteria of medical importance

4. Transfusion transmitted infections, HCV, HBV, syphilis

malaria"

95

q , T , r , I 4 - fri T ,r ) v r r r G u G N r 9 sT T T ; = T uRrT-S _ , 9 -. J ,_ [, 3lrTtfl 23_2gjg_____]2L@F)

5. ELISA, rapid and other tests for diagnosis of transfusion transmitted infections

6. Nucleic acid testing

7. Biosafety,Management of Biomedical

8. waste Instrumentation principles: pH

meter, colorimeter, Spectrophotometer, Electrophoresis equipment PAPER-II-HEMATOLOGY l. Collection of blood samples, 2' types of anticoagulants complete hemogram, Different methods of haemogrobin screening/estimation :

Copper sulphate,

haematolcgyanalysers, Cyanmethhemoglobin Sahli's-and Hemocue methods, Red cell indices i

3. Normal erythropoiesis, Leucopoiesis, Formation and platelets function of

4' classification of anaemia, their raboratory Hemoglobinopathy:

diagnosis, Beta Thalassemia and sickle cell disease, G6pD polycythemia

deficiency,

5. Autoimmune hernolytic anaemia, classification, specificity

diagnosis, of autoantibodies

6. Coagulation Mechanism, Hemostasis, laboratory coagulation, tests forPlatelet

Disorders

7. Haernatological malignancies

8. Bone manow transplantation, peripheral stem cells, cord stem bloodcells, cord

blood banking

PAPER . III. GENBRAL IMMUNOLOGY

L lntroduction to Imrnunology, History, Immunity

2. Antigens :Immunog.n, uiio_untigen, soluble antigen, antigen, Red cellEpitopes

3' Antibodies: poryclonal antibodies, development of antibodies, structure

ofimmunoglobulins, characteristics of immunoglobulins

4. Monoclonal antibodies: Hybridoma technoto-gy, Human monoclonal antibodies, Applications of MAb 5' Antigen.antibody reaction: Antigen concentration, antibody concentration, enhancing media, other factors influencing antigen

96

antibody reaction, Immunoassays: ELISA, 6' cells of immune system: phagocytic cells, Antigen presenting cells,

T cells' T cell subsets, B ceils, cD Markers, Flowcytometry for counting T& B cells

7. Autoimmune disorders

8. Complement System ?:. HLA antigens, HLA antibodies, HLA Serology, Histocompatibility matching: Molecular methods

10. Molecular methods in Immunology PAPER . IV- BLOOD COMPONENTS&BLOOD DONATION 1' Selection of blood bags for component pr.pu*,i*,l.elaration of red

cell concentrate, Fresh Frozen plasma, platelet concentrate, cryoprecipitate,

washed red cells, Frozen red cells

2. Plasma Fractionation: principles, manufacturing of different plasma derivatives

3. Component Testing, Labeling,

4. Transportation and storage of blood components.

5. Preparation of leukoreduced blood products, Leukocyte filters, component extractors.

6. Metabolic changes in blood components during storage, release of cytokine

during storage.

7' Inventory management and maintenance of blood stock.

8. Irradiated blood components

9. Blood substitutes

10. Measurement of factor VIII level in FFp I l. Measurement of fibrinogen level in FFp

12. Sterility test on platelet concentrates.

13. Sterility test on Whole blood

14. Measurement of pH and other platelet parameters. l. Donor Motivation, Motivational Techniques, Social Marketing, Preparation of IEC Materials

2. Donor recruitment & Retention: Types of blood donors, Donor selection.'

97

grq 4 q|lJ]-{elrq T|\JT-q-{, 3lrf{d 25

2015 121

medical interview and medical examination, screening for haemoglobin

estimation, Managing rejected blood donors, technique for conversion of first

time donor into regular voluntary donor, donor felicitation

3. Blood collection room equipment, their principles, and use, emergency

medicines, Pre donation counselling, Bleeding of the donor, post donation care, post donation counselling

4 Screening of blood units for mandatory tests, Discarding infected units.

5. Blood Donation drive: Awareness

programs prior to blood donation drive,

Camp site, staff requirement, management of camp, transportation of blood

units from camp site to blood bank

6. Preservation of donated blood, blood preservation solutions, Additive solutions

7. Apheresis procedures, Apheresis products, preparation of multiple products on cell

separators, Maintenance of cell separator equipment

8. Autologous blood donation PAPER -VI, TRANSFUSION THERAPY l. Management of Blood Bank Issue counter. criteria for acceptance of

requisition form, inspection of blood componenr

pnor to lssue.

2. Blood administration, transfusion filters, post transfusion care, Therapeutic plasma exchange

3. Judicious use of blood; management

of different types of anemia.

management of bleeding patient, Neonatal transfusion, Transfusion practices in surgery, Transfusion ther.py for oncology and trans plantation

patents.

4. Hemolytic transfusion reaction immediate and delayed; immune and non

immune reaction path physiology; clinical signs and symptoms Laboratory

invigilation for HTR Tests to defect bacterial contamination in blood,

98

#

J

I

":',/ qAQ_ _3ry1Egrq_W:E rnryq :q,_ zal. _ Iq1 4fD

5. Non- hemolytic transfusion reactions Immediate and delayed, j febrile

reaction, allergic reaction, clinical signs and symptoms.

6. Acute transfusion related lung injury, alloimmunization, Iron overload, Graft

versus host disease.

99

i' .Tr-.f 4_FL RT-s-{gm_W._9nrin zs, zots tz_ipg) Specificity, clinicar significance of antibody detection, I differentiation between

auto and allow-antibodies

9. Gel Technology, Micro plate technique PAPER - VIII - QUALITY CONTROL IN BLOOD BANKINGAND

LEGAL ASPECTS

l ' Quality control of blood grouping reagents, ec of anti-human globulin reagent, bovine albumin, Normal saline

2. Quality control of blood bass

3. Quality control of differeit blood bank components, sterility test on component.

4. Automation in blood bankins

5. calibration, validation *a maintenance of blood bank equipment, QC of

blood bank techniques, internal and external 6.^QC.Organization of blood bank

services, Blood Bank premises and infrastructure,

Regional blood transfusion centre and blood storage centres, Blood bank

management system

7. Regulations for brood bank operation; Drugs and cosmetics Law, National

blood policy, standards in Brood Banking, licensing procedures.

8. Recruitment and training of blood bink perso,r-nlt, pronciency testing.

9. Blood Bank Accreditation. PAPER - IX - RECENT ADVANCES IN BLOOD BANKING

TECHNIQUES

l. Automation in Blood Bankins

2. Nucleic Acicl Testins

3. Apheresis

4. Stem Cells Reference Books:

l. Modem Blood Banking and rransfusion practices by Denise M Harmening, 5th edi

2. Transfusion Medicine technical manual-DcHs, Ministry of Health and Family

Welfare, Govt. of India, Second edition, 2003

3. Blood transfusion in clinical medicine by pL Moilison

4. AABB Technical Manual, lTth ed. AABB

100

tzt(too)

3 gtrT|\il_Ir{_qrrwlq, 2015 ,{r,T 4 (g

5. Compendium of transfusion medicine, RN Makroo

6. Practical Hematology, J A Dacie and S M Lewis

7. Basic Immunology, A K Abbas and A H Lichtman. Second ed, Saunders Elsevier.

8' Essential Immunology. I Roitt, gth ed, Blackwelr scientific publications

9. Basic molecular and cell biology. David Latchman. BMJ Publishing group, 1997 .

10. voluntary blood donation program NACO, Ministry of Health and Family Welfare, Govt.

of India, New Delhi,2007.

I l- National guide book in blood donor motivation. NACO, Ministry of Health

and Family Welfare, Govt. of India.

12. Standards for blood banks and blood transfusion services, NACO, Ministry of

Health and Family welfare, Govt. of India, New Delhi 2007. Schedule-10

__.=-.-

Technol I Paper code I sunrncrS , -- l l" Yearil [n P ^: a ^ - p - e --- r - I -- -tli ; ;;-:: :: ;^-; j ANAToMvaF^-:A^:-v^:--s i : b l

l_obV =PepgrII_ _ _f Alltolgc^y_ ANq !4^r c no e io LoG y Fo I c r r Paper III PHYSICS oF ENDoSCoPiC iNsrnuMeNTs & I|q uAlllIENAilqE

P"p"r IV PREPRATION FOR EN-b-oSaoila pn oiTnrlp^-F I Paper V Practical & Viva Voce^l

-^ L -n d . \ ei ar

Paper VI PANENT CA_RE

Paper VII

Baslctndoscopt -

"",t"."__- Paper VIII Advanced Endoscopic procedure Paper IX E"d"6"opy OT

_'rEdi99-lgsqLreqo_4_&lprsJl_

Fape" x __Practical & Viva Voce

PAPER I ANATOMY

& PHYSIOLOGY:

Introduction to the body as a whole

101

tur) The cells, tissues of the body The cell: Structure, multiplication. Tissue: Types, structure, characteristics, functions Epithelium: Simple, Compound

Connective: Areolar, adipose, fibrous, elastic, Cartilage, blood and bone

I\4uscle: Striated (Voluntary), Smooth (Involuntary, Cardiac) Nervous tissue

Fibrous tissue

Cell regeneration

Membranes: Mucous, Serous, Synovial

Musculoskeletal System

The Respiratory System:

a. Organs: Position and structure

b. Nose and nasal cavities

c. Functions: respiratory, Olfactory

d. Pharynx

e. Larynx: Functions - respiratory, vocal

f. Trachea, Bronchi, lungs: lobes, lobules, pleura Respiratory functions: External and internal respiration, common terms relating to disease and conditions of the ,yri"_. Anatomy of the esophagus, stomach, duodenum, small bowel. Anatomy of abdomen, omentum, colon, rectum and anal canal. Physiology & Mechanism of stomach and intestinal secretion. Function of stomach, duodenum and gallbladder.

Physiology & function of lirer, spleen, colon and rectum. Physiology of defecation.

PAPER II PATHOLOGY AND MICROBIOLOGY FOR

GIT:

General lectures on micro-organisms- classification/ shapes/ Sterilisation and asepsis.

Infection- source of infection, , spread of infection, various pathogenic bacteria, viruses and diseaies caused by them enteritis, enterocolitis,colitis, igastritis,etc) Pathology - General- celr injury and adaptation, inflanimation repair, fluid^andand hemodynamic derangement in vomiting and dianhoea.

l:SoJ"gl of the gastrointestinal tract and genital system. IBS, lBD, koch's abdomen.

102

l|lkpz)___ _tryr€[I -W*-g1 g.rff :q, 20lg___ ]r,r*{I) Common Diseases of Upper Gi Tract, Dysphagia,Achalasia, cancer of the esophagus, Diverticulae, r-orirtuius, nteeding lesions of the esophagus (Varices,Mallorie W"i, feurrj ' Polyps of stomach, gastric cancer, duodenar ulcers, !le1{inelesions, Helicobacter pyrorie infection uasrltls and Antrar

Common diseases ofthe colon, cancer colon, polyps,diverticulae,

granulomatous colitis, Ulcerative coiitis,

crohn's Disease, Functionar diseases, benign strictures

colon, ofthe

Diseases of Billiary tract, Stones Tumors, Gall Bradder stone andCancer sequelae Pancreatic diseases needing the ERCp procedure ;

PAPER III -PHYSICS OF ENDOSCOPIC INSTRUMENTS

&ITS MAINTENANCE:

Layout of Endoscopy theatre

Principle & Working of GI Scope,

Principle& Working of Colonoicopy.

Principle& Working of Bronchor"op",

Principle& Working of esophagorrop.

Principle& Working of Fibre opti. tu.yrrgoscope.

sinoscope, basic laparoscope

IJse, care, &maintenance of the common types of

Instruments, needles, suture and ligatures uied in operation theatre

Puri: endoscopy unit - forwarJ viewing, singie channel double and channel endoscopy ancr specific instruments used endoscopic inand colonoscopy proceduies

Bio hazards and safety in medicai devices

Basics of Video endoscopy Instrurnentation, Mechanics,

Mechanics, Magni fi cation etc.

C-Arm Image Intensifler

PAPER IV PREPRATION FOR ENDOSCOPIC

PROCEDURE:

cleanliness and sterilization of ER/ operation theatre ancl annexes Fumigation, Asepsis in endoscopy .oo.,

Fumigation continued

Principles of sterilization, modes of sterilization including autoclaving,

Pressure sterilization, boiling, dry heat, gas chemical sterilization,Gamma ray sterilization.

103

ur.T-4 fT) il including €mersency lighting Lt:l* l.t. "*urti endoscopist and othirs io up and drape fbr *.ji#:" operation. holding out cap' glwn and gloves fbr endoscopist and Tu:f' othersand handling of sterilized articles."

washing' cleanilg, testins and repairing of gloves and sorting themout -for packing and sterilization Preparation of dressings, swabs unJ pu.t, packing of drums and sterilization. use. care, and ster'isation of the cornmon types ofinstruments,needles, suture and ligatures used in operation theatre.Procedure for sending specimen ro. uiopry and fluid for curture. Identification of instruments for common Endoscopic procedures operations and examinations, such as:_ GI Scopy, ioiJnJs"opy, Bronchoscopy, .sophagoscofy, Fjbre opticlaryngoscopy,sinoscopy, basic iupu.Jr"opy Setting up of tray/ lionevs roi r".i",], endoscopic procedures/surgeries.

Assisting the scrub surgeon

Scrubbing, gloving gowning & "Laying tables for endoicopie

Endoscopy or stores lndenting, storekeeping, - accounting and

Inventory Management.

of table for various diagnostic and therapeutic ff,ji'.x;:

PAPER VI PATIENT CARE:

Pati ent Preparati on for di fferent endo scopic examinationSpecial Precaution pu,i"nr, with sepsis, blood ilJr_1nOfin', borne infection Hep.B, Hcv, I - rrrrT ei" cleaning and disinfection ofthe articles and endoscoql..olm (with special reference to HIV,HBV & HCV disinfection )Terminal oienAoscopy roomPreparation of patienr incruding irun.r". & ilril;;ing of the patient Elective and emergency procedures.

Ubservation & monitoring the patient in recovery room PAPER VII Basic p.o..Ju.. Endoscopi" , --iuriou, Assisting the endoscopis, in endoscopic and colonoscopicproecdureslike _Hemionh.pa : irg"i""i, iuo,rurrr,.,femoral, paraumbilical Abdomlnui iup*oto*y

104

121(104

iTq-{€lTT_1Tq-q-t, 3lrrftI 25, 2015 Laparoscopy: cholecystectomy, appendicectomy pyloroplasty,'duriio Vagotomy and rio*y, ll eostomy, Colo stomy Appendicectomy Colonoscopy Endoscopy -

Diagnostic endocopic procedure- giving oral anaesthetic agent''Diagnostic^ colonoscopic procedure- Assisting the anesthesiologist for induction of anaesthesia and positioning the patient.Biopsy, Injection Sclerotheiapy Gastric Biopsy

Basics of Laparoscopy, Instrumentation, Technique Introduction to rigid stope, mechanicsEfC

common Laparoscopi" pro..oui"r, app.naix,chorecystectomyetc

PAPER VIil- Advanced procedure Endoscopic : Assisting the endoscopisi ;"'' various endoscopic and colonoscopicproecdureslike Introduction to ERC' suite Management: Organis?r]".n. _ H"rpit"l Organisation of ERCP -.-"rg"n"y"-f and Multiple uniis - Elecive und l?ffi1";.lingle Principles of Surgicar Asepsis and ERCp preparation Room: - oftables, equipments, instrumen,r i"r ,rr. procedure - care of ERCproom before' during.& - afterlhe procedure precaution -special inhandlings patients with sepsir; fi;;; borne i"ru.ii""-_ Hep.B, HCv' HIV etc - cleanini *a iiri"r.ction of the articles and ERCP room (with special r"f...n."io HIV, HBV & HCV ). ER.P Room eouipments,Instnrmeits and Maintenance: Basic ERCP unit side - ,I;,l*Hf documentati"'';;-i":::Xl?firT.H.ff.Trffi ;:jdiagnostic and therapeutic various lioceaur.s- sphincterotomes,guide wires, balr oon.dilootr, uurt.e lirr,"oipry #il;;: vari ous types of stents- plastic and metal. uragnostic ERC' proced.ures- of patient . incruding .preparation transfer positioning & of the patienilAssisting tr,i for induction of anaesthesia ""*ir,.riorogist *i p"riri_"lrrg the patient.Assistingthe endoscopist in various di"t;;#;;RCp procedures. Therapeutic ERCp proceduris- Assisting endoscopist for cBDstone removal, CBD and CHD strictur

metal stent place*lr,,, getting tissue ri"iliffi:Tfr;flJi::il1,1

Pancrearic pracement.Maintaining srent p;iJnis;f."iln#o.rort in ERCP pr.u.nii*-^or'pr,iri.ur, room: erectrical, chemicar

105

I

-FF TII⁴_(.T)__ W$tE EE:!?-qnw.?5,_?q1Q___ l2L(105) injuries/hazards to patient - Maintenance of interpersonal relationship.

Pancreatectomy, Drainage of pancreatic cyst(pseudocysr), Resections of Small Bowel, Sigmoid colon andrectum: Hemi & total Colectomy; Colostomy: Closure

of colostomy,Rectopexy&abdominoperineal resection,'Drainage of abscess(es) in

the region of the liver, Hepatic Resection, liver transplant,Splenectomy; L-R Shunt,

Fsophageal Varices, Gastric Varices,

Indications of Treatement of Bleeding lesions in the esophaqus. ulue

Injection and EVL

Gastric Polyp resection, Percutaneous Endoscopic Gastrosfomy. PercuataneousJej unostomy

Dilatation of strictures of esophagus, Balloon, bougies, CRE Balloons ETC

Basic ERCP Procedure, premedication, position, stone retrievar and

placem'ent of stent, removal of stones form pD and CBD Gastroduodental stenting

Double balloon enteroscopy, capsule endoscopy, Differnet types ofcapsules

colonoscopicPolypectomy colonic dilatation of strictures by Balloon

Placement of Expansile stents in colo-rectum Emergency de-rotation of colon in sigmoid volvulus Advanced Iap Surgery. Lap Liver resections etc Therapeutic endoscopic and coronoscopic procedure- initial resustation of the patient- knowing about EVL and EST and assisting the endoscopist .assisting the endoscopist in endoscopic and colonoscopicpolyp_ectomy, Apc and FB removal.Maintaining Patient Safety and comfort in ER: prevention of phvsicai. electrical, chemical injuries/hazards to patient - Maintenan." oi interpersonal relationship, orientation to legal & ethical issues involved in endoscopic room technique

Paper IX - Endoscopy OT administration, design, documentation, medico legal, record keeping, Ii:

organization of Hospital - organization of Endoscopy rooms - Single and Multiple^- theatre units - Elective and emergency endoscopies, ambulatory surgery.

106

rN -' ,-t, : "''..1_!?9,q_z.!2l!_!-j_![_ -_u4+ #*. TTvq_:.I;, r!lAdmission & Trar-.^ nsler procedure; maintenance of Receocrdos rds oner,Operative Communication and health .u* patient relationship, Methods of Effe*ive Lf:ider._ C;;rn;i.111on, Attending . .sk^il,ls , Rapporr en'pumy.-^.,"r,,,,, i;;;;;-. 3J**i,J:'#,, effe*ive Management, need for scientif lc managements, decision delegation, makins

Supervision _r.?nniqu.s

Assignments_Individual and team functionHuman relations,.prUli" ..fution., pfunning of courses Ethicar blockand regar i.rr.r in dp#iJn,,r.urr. and anestrresia

REFERENCE BOOKS:

l. pt_, Williams Wa.wick R, Dyson IvI, Bannister LH (eds) Anatomy. Gray,s36th edition Churchili iiu,n, stone, york, New 2. Human 19g0. anatomy_ Regional anJ applied _ Volume _ chaurasia's, I B.D 3rd iBs F"Lrird;-uni'dirt.ib;; New oerhi,

Phvsiorogv - Arthur c Guvton, ii"il3lf:;*i#:S]"r rohn E

co^Tqunt u s A ree6 i *:*l? J. ESsentrals of Medical physiolocv _ Anil Baransinghamahapatra, Ist edition current 8""k.;;;;;;;:r"r, Mumbai. ree8. v'i."i",i,a*,, - niJ*i :;f:TfX|l3i:il1r"' s Sner, 5th /. company. U.S.A 1992.

Pathology:

or rumours christopher - ] ififfii#fiSl[.T:::i:3"rogv

;;' rntroduction to the ' Mechanisms #ffiH;"t:::,t, if"[;;;

A Dillv' caroline J Finalvson ' and AhmetDogen !35it';..Tin

orMicrobio logv &Immunorogv #"+fi;iReview -1 illi,''tffif

5. Tadayo Hashimoto, Harnold J. Blument _ hal 1997. , _ p Mi;*r;. rar",.'put.i.r R f;jfiffi:rrj,o,or, Murray, t gastrointestinal endoscopy the fundamentats _ peter :T;:t;.t B

107

q.:mr , r a \t.'r[.r ) __ ?:rr.*!J!{11 ]nL-EI li_rlR1 25, 2015

tNpr)

2. Introduction to operating room Technique - Kandaswami

3. Theatre Technique - Dixon Eileen 4' Fundamentals of operation Theatre Service - T.K.Datta 5. SAGES manual perioperative care in minimalry invasive surgery. Richard l. whelan, James w. fleshman, Dennis L.

fowler. Springer edition

l. Practical gastrointestinal endoscopy the fundamentals - peter B Cotton

2' Introduction to operating room Technique - Kandaswami

3. Theatre Technique - Dixon Eileen

4. Fundamentals of Operation Theatre Service _

5. T.K.Datta SAGES manual perioperative care in minimalrf invasive surgery. Richard l. Whelan, James w. fleshman, Dennis L. fowler. Springer edition

Schedule-l l

[See regulation 41(2)]

Syllabus of Diploma in E.E.G. Technology

FIRST YEAR

PAPER FIRST

I .Study of General Anatomy and physiology of Human Body

PAPER SECOND

I. CLINICAL:

(A) Seizure disorder and its diffbrential diagnosis

(B) i) Normal EEG pattern in children and adult, awake and

(ii) sleep. Neonantal EEG

(iii) Normal variants

(iv) Artifacts : Eye movements, muscle pulse

(v) Activation methods: Hyperventilation, photic stimuration, sreep deprivation,

others

(vi) Abnormal EEG records, definition_spike, sharp, slow waves, other

abnormalities

(vii) Abnormal EEG in neurological diseases

viii) Brain death

2. TECHNICAL ASPECTS:

(i) Different parts of EEG machine and its functions, i.e. monrage, electrodes, filter,

calibration, sphenoidal electrode, depth electrodes.

108

121\108) IEIE Rlq-gz-qfs1 zs, 2o1s rilq 4:-- FLtr )/

(ii) Electroencephalographic monitoring (in patients and ambulatory). Video

Electroencephalography. Intraoperative records, euantitative electroencephalography,

Brain mapping and others (in brief).

(iii) Electroencephalographer's reporting

(iv) Record keeping.

SECOND YEAR

PAPER FIRST

I. NEURO-ANATOMY:

Muscle : Origin, i8nsertion, nerve supply, structure Nerve : Course-cranial and peripheral, structure

2. NEURO-PHYSIOLOGY :

Muscle :

i) Functions of muscles

ii) Muscle contractions

iii) Electrical properties of muscles Nurve:

i) Functions of nerve

ii) Electrical properties of nerve.Near filed potential and Far field potential

iii) Nerve conduction

iv) Neulomuscular junction and neurotransmitters

3. NEURO-PATHOLOGY:

Muscle : Pathological changes in muscles

i) Primary muscle disease

ii) Injury

iii) Metabolic

iv) Inflammatorv

v) Others

vi) Neurogenic muscle involvement

vii) Neuromuscular iunction abnormalities Nurve:

i) Demyelination

ii) Axonopathy

PAPER SECOND

CLINICAL:

I Nerve:

(a) Disease affecting cranial and peripherals

(i) Bells play

(ii) Peripheral neuropathy

109

t.

I

I'

(iii) Entrapment neuropathy

(b) Basic principles of nerve conduction study (NCS)

(i) Motor NCS

(ii) Sensory NCS

(iii) F-ware

(iv) H-reflex

(v) Blink reflex and others

(vi) Repetitive nerve stimulation

(vii) Abnormalities in disease

(viii) Central motor conduction

2 Muscle:

(a) Disease of muscle and neuromuscular junctions

(b) Normal EMG recording-Resting/Insertional activity/V.olitional recruitment pattern, Interference pattem.

(c) Abnormal EMG -

(i) Myopathies

(ii) Neurogenic muscle involvement

(iii) Involuntary muscle contractions

(iv) Neuromuscular transmission disorder

(d) Needle EMG - Conventional, Macro EMG, Surface EMG, Single fibre EMG

3 Evoked potential studies:

(i) Visual evoked potential

(ii) Brainstem auditory evoked potential

(iii) Somatosensory evoked potential 4Instruments:

(i) Basic knowledge about the machines

(ii) Electrodes

(iii) Electrode impedance

(iv) Identification of wave pattern

(v) Artifacts

(vi) Normal laboratory values

(vii) Electromyography reporting

(viii) Record keeping

5. Polysomnographic studies - Normal sleep and sleep disorder (in briefl

lI-__ _.

-_

110

Uftd---gt'nelrq wi:!1. qq-K 2s,2o1s

-irl 4 _('T) Schedule-12 [See regulation 41(2)] Syllabus of Diploma in Cath Lab Technology Subject to be taught No. of lecturers inc ludin demonlqsttrr4aqtign ___

Basic Analo_mJ _ _ 20

Physioloey& Patho

Preventive Cardio

60

I

-- ____lPractical Training 150= i

I

I

I

no vea SI Subject to be taught No. of t.ct"*rs tnct"dtttg No

demonstration

I

Radiology

2.

ECG 30

3. Defibrillation 15

4.

Diseases of Heart 25

5.

Catheters and Instruments

1n-v Total 110 Practical Train 150 Ist year Examination:-

The Examination will be conducted according to the followins table:

---

iSI

Subject^ofTotal Marks t-;tal_' --lI Total j*"

Examination

for Theo - rv I Marks

M;;, I | orat I Anatomy

loo | ,t

2.

Physiology r0o ---l--2s a

J.

Pharmacology

too ---f- 2s

4.

Preventive 100

25

UU _4 _FD____l51g{t1_l51:qr.9n3q._eL __ 14fu1)-291s - - I n-,-]-,- i , LarOlOlOgV '-oJ | , rtl i - -_ - j -L 5. ryrrwrvurLrrut,y -- j Microbiologt -. -- I m0 i i I UU i __l____ i !_*a_-. 3. All l wiitiin-ex"am*t;F*n in.eaclr subject shall be u, _.n,io,iffio,Je.lrfr-"j:.11_10-.^ 4.JI gd year F.xamiqation:

, Subject of eximGation --frorar jTotai i i: "" Marks for f I I I Mark. I n,r..,. Marks for

i P actical *- | lrn'o'v ir'.olr Jil.r.,'.", I

SYLLABUS

lst year ANAToMy:

0l Basic cells and tissues pericardium, chambers, valves, conduction systems great 13rffi",

03 Circulation: Major arteries and veins and pleura, diaphragm91 !y"*r 05 Liver, Spleen, Kidney, Bra"in

PHYSIOLOGY:

0l Circulatory systems

02 Autonomic nervous system

03 Action potential .ur.l., contractiorr

04 Gas exchange

05 Thrombosis, platelet function

06 Renin angiotensin system physiology07 Kidney:

PHARMACOLOGY:

pharmacology 0l General

02 Sedatives

03 Anaesthetics agents

112

1 ?1 01:) EE-r:ry_ w:LtE ?5. *2g lg _ ___ rtr _1_ o

04 Analgesics

05 Drugs- u sed for heart disease: Antianginar, failure, Antiarrhythmic, vessopressor, anti vasodilators, cardLc i_uging thrombotics ugJrrtr, anti

PREVENTIVE CARDIOLOGY (patient

Practice): care & Hospital

01 Diat and Nutrition

02 Smoking^,

03 Exercise and heart

MICROBIOLOGY:

0l Specimen collection: Blood, urine sputum, 02^etc.Bacteria and viruses in CVS

03 Serology and immunoloqy Syrranus

IIPIOIgGY (Basic on, Jilfoliilo,

01 Principles of X-ray

02 Protection fbrm radiation

03 Description and recognition of Chest X_Rays

04 Diffbrent yiews of chest for identification of cardiopulmonarystructures

05 Ultrasonography: principles

06 Basic of Echocardiography

ECG:

0l ECG machine: parts

02 Technical of taking an ECG

03 Pitfalls in taking g-CCs

04 Recognition of normal ECG waves

05 Abnormal pCC

DEFIBRILLATION:

01 Technique

02 Indication

03 Complications

DISEASES OF HEART:

0l Congenital

02 Rheumatic

03 Myocardial and pericardial

04 Coronary artery diseases

05 Hypertension

113

e{ a (q\ yrq{qn {lq-q,¹!ffiSL2l, 2015 _ ALUA

06 Pulmonary thromboembolism and pulmonary hypertension

07 Respiratory failure

CATHETERS AND INSTRUMENTS:

0l Arterial Blood Gases: Technique and interpretation

02 Haemodynamic monitoring Technique, recognition, indication, complications.

03 Fluid and electrolytes

04 X-ray imaging in lab

05 Intra Aortic Ballon pulsation: Indication, Technique and complications

06 Artifi cian ventilation

07 Exfta corporeal Membrane Oxygenator 08 afferent views of cardiac catheiJrization 09 fransducer, outline of C-arm, cineangio machine oxymetry List of Books prescribed

Invasive cardiology: A Manual for cath Lab personnel - & Jones Bartlett

' Invasive cardiology: A Manual for cath Lab personnel Watson -

'^The cardiac catheterization Handbook- Morton J. Kern '^The Interventional cardiac Catheteization Handbook- Morton J. Kern

' complications in the cath Lab: Risk Factors, Management Bailout^andTechniques - Mauro Moscucci

' cardiac cathel"erization in congenital Heart Disease: pediatric and Adult - Charles E. Mullins

Schedule-13

[See regulation 4l(2)]

Syllabus of Diploma in Emergency and Trauma Care Technology

TEACHING AND

EXAMINATION

SCHEME - Ist Year Distribution Distribution of Marks of time

114

tzyftq)

__qq1Eu-!N:q-a1q _ _ _:ryrf1

Medical em-"rg"n"i", f I I

100

Ervl) t00Envlronment I

100

Lurrrgcncy¹⁰⁰ln body

I

systems r00¹⁰⁰ ail{Je }lmulator I

JZ JZ 75 25 100

:)-

Clinical Rotations I (Sessional) r00 r00 Total 4

32

36 600

TEACHINC ANO

EXAMINATION

SCHEME - IInd r

ls. SubjectI

Distributi lNo. Distribution I of tfl*f.son of time

Ilours Per &xam

Week

T PR

T

rn PR

Viva- Total voce

I

runmenill I

100

r00

2. I\/^,J:

r00

3.

r^l,rorrq6Elltrnt -

r00{)r luedlcal I Emergencies r00 r00

A

awarenessinMedical

i Emergencies r00¹⁰⁰

5.

i^Ar .^lnr^Lv^,qror rle rrrLernsnlpand

)z Ambulance^JZSimulatoill ⁷⁵²⁵

r00

6.

uuurual notattons ll 100

r00 Totgl 4

32 36 600

(Cognitive and psychomotor) EMT Core Trainin

EMS Systems, Roles_and Responsibilities PARAMEDIC)-The (EMT and Well_Being of tfr. pururn.ai Illness and Iniurv prevention_n4".Al.uiund Ethical Legal Issues Issues

Pathophysi ology-pharmacology

qrq + (D qlqq€rrq {rq-rrt, GrrrR' zs, zors rzr(1rs)

116

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1

sq r";;"i",rr\Ir0I\ l1v.1uana{ Instrument r;. iqilu' re Knot-suture ^ S>urgrical materials Ne"e"dalci"ol th _ oc1 patem y: s ut,,e

s Ri:eHm:,o,vXin g Suturei

Hazardous Materials Awareness

Vehicle Exftication Concep.ts

Technical Rescue Awareness

ClinicalRotations2

-Ambulance Ride -A'br;;;;;H,1,'#-'nternship Part part I and rrpKuts proficiencv a ss es srn en ts : EMr/d;r;;; J.'i

B ase r i n e i i ;; H:fff !.ff itB,& radio,"pon BVM .llrr:y ventilation_adult, .fritO. infant

i i o,' i" ""'l',;i::'''r' a r 8iilff I

" ventitationsr."r*lrrr"Xrt*o-rtf.f r,"0J,0",1:,rr,lJili,il.r**il

117

fu_vq:

pulse oximetry (SpO2 monitoring), monitoring) and capnography (etCO2 Bleeding/Hemorrhage

management (euik Clot and CAT) LSB, KED, Traction Splint Patient Assessment: Medical Assessment Assessment Trauma

$:yuv. Man a gement Skiils :

E r l-adult, pediatric (child and infant) LMA-adult

King Airway-adurt I Gel-adult and pediatric Tracheal suctioning crico_thyrotomy Surgical Transpo.t u.ntiiuio, ^; Needle chest decompression

IV/Nledication Skiils:

Blood draw with vaccutainer

device Blood draw with butter fly needle Blood draw with

syringe/OTN catheter

IV start-peripheral

IV medication administration_

piggy back in fusion IV

medication administration_ 3 !

ways

' to pcock Medication administration_ subcutaneous, intramuscular, IV

bolus,nebulizer

Advanced/Specialized Skills :

Sutures Ultrasound

Accident Vehicle patient Extrication (AVET/PHTLS) F.IRSTY.EAR-S UBJECTS DIVISION

Hu man systemiaTsseiilEil P-I Anatomy,physiol

2.

Pharmacology

ogy,pathology&p

3.

un,tvr | \-u,rs harmacoloovr raltrtng (tncl. AHABLS, P-IICEVO. EMSanO

PHTLS)EMS Environment I

Environment I

4.

rrL,uK ano f lutd I herapy

P-III rmergency in

118

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SECONDYBAR N SUBJECTSDIVISION:

I EMS Environment II

P.I EMS

ACLS,PALS,AMLS,EPC, ANd Environment II PHTLS (Review)

Medical Emersencies II

P-II Me{ical Wilderness and Rescue Medicine

Emergencies I

).

Assessment Based Manasement

P-III Management of Suture Techniques Medical Emergencies Ultrasound (Basic)

Hazardous Materials Awareness

P-IV Awareness in Technical Rescue Awareness medical emergencies

10.

ClinicalRotations II PRS ll Ambulance Internship t2. Ambulance Simulator ll MANUALS/BOOKS:

"EmergencylCare and Transportation of the Sick and Injured", Tenth Edition, AAOS Emergency Medical Technician ! Transition Manual, AAOS Nancy Caroline's

Emergency Care in

the Streets, AAOS,

Sixth Edition Hole's

Human Anatomy &

Physiology, Thirteen

Edition

AHABLS for the

Health care Provider

Wilderness and Rescue

Medicine, Sixth Edition,

Jones & Bartlett Learnins

119

gFI 4

t|\rN:aTFI {l\rT-q-{

3IITRI 25 2015 121

119

"Basic Ultrasound" by

1i Hylton B 'Meire and Pat Farrant

"Surgical Knots and Suturing Techniques ", F.D. Giddings, Second Edition

FIRSTYEAR-SUBJECTS DIVISION:

EMT Core Training (incl. AHABLS, CEVO, and pHTLS) Basic Emergency Medical Technician Course based on"Emergency-Care and Transportation of the Sick and Injured", Tenth Edition, AAOS

EMS Environment I

An overview of Emergency Medical Systems in the US and around the world; focusing on professionalism, responsibility, development, improvement and community involvement; and .also emphasizing the ethical and legal aspects of Emergency Medical Systems including mal practice, consent, and contracts. Human Systems & Assessment

Patienthistory, charting, and physical examination skills, with emphasis on directing, defining, and describing normal and pathological human body conditions.

Shock and Fluid Therapy

Understandingandmanagementofthebodysystem'sreactiontodecre asedcellularoxygenation.Bodyfl uids,osmosis,andpathophysiolo g yofi nadequatetissueperfu sion. Shocktherapyandintravenous/intrao seoustechniquesareemphasized.

Emergency Cardiac Care

Etiology, pathophysiology, clinical features, cardiac disease processes, and assessment of patients with cardiac disorders (ACLS algorithms, skills, and techniques), with focus on the interpretation of cardiac dysrhythmia, clinical signs and symptoms of cardiac conditions, indications and administration of emergency cardiac therapy along with defibrillation, synchronized cardio version, and transcutaneous pacing skills. Pharmacology

Clinical pharmacology, classification and use of medications. Emphasis on the proper indications, precautions, dosages, and

tzt(rzo) qfqrT{ w-E,er.no zs, zors qrq + (.D methods/routes of administration. Includes dosage calculations, metric conversions, and infusioncal culations. Emergency Respiratory Care

care of patients with respiratory disorders; the etioloey and pathophysiology of the respiratory system, normal resfiratory function and mechanics of respirations. Assessment, pathophysiology of respiratory disease, evaluation and management of respiratory distress due to medical and trauma- related problems, with emphasis on the uses and techniques of supra-glottic, endotracheal, and surgical airways. Traumatology .

Management and treatment of traumatic injuries including of tissues, musculo skeletal structures, neurologil and cNS (central Nervous System). Anatomy and pathophysiology, assessment, and management of traumatic injuries involving these human systems (including principles of pHTLS)

Medical Emergencies I

Recognition, management, and pathophysiology of patients with medical emergencies. This module will focus main lyondiabetic emergencies, an aphylaxis and an aphylactic shock, exposure to environmental extremes, alcoholism, poisoning, acute GI problems, genit our in ary problems, andmedical emereencies of the geriatric population.

Clinical Rotations I

Supervised rotations through hospitar clinical areas. Emphasis on airway management, IV therapy, and patient urr.rr-rnt skills. Ambulance Simulator I

Introduction to sim-Man (mannequin) and to the ambulance simulator; basic and intermediate scenarios, working with AlS(Advanced Life Support).

SECONDYEAR.SUBJECTSDIVISION :

EMS Environment II

Guided practice with emphasis on disaster management, MCI (Multi Casualty Incidents) & triage, EMS telemetry and communications, stress management, and emergency rescug

121

fl4 extrication techniques (appried concepts of Accident Extrication victimTechniques anO fUffS;. Medical Emergencies II

Recognition, pathophysiology, proper .protocols, implementation and ofmanagement of patients with emergencies.This medical module wiil includi infectious GIN, disease,oB_ pediatrics, and behavioral emergencies. ACLS, PALS, AMLS, EPC, and PHTLS

(Review) American Heart Association and

NAEMT Wilderness and Rescue Medicine

"wildemess and Rescue Medicine"Jeffrey E. Isaac, pArc David E. andJohnson, MD Sixth Edition Assessment Based Management

Integrates the principtes ir assessment- module will based management. This emphasize general approach, assessment, di fferential s (di agnosti cs), and iounug.,'.nf pri oriiies commonly for f atientsencountered by the pururn.di.. Suture Techniques

"Surgical Knots and Suturing Techniques,,,F.D. Second Edition, -. Giddings, Giddings striaio publishing, Fort Colorado,2002 colrins

Ultrasound (Basic)

Suggested manual:"Basic Ultrasound "by HyltonB,Meire and pat Farrant J J ---'- Clinical Rotations II

Supervised rotations through crinical settings. Rotations emphasize willthe Emergency Department and its correlation Emergency to the Medical services system. Labor and oerivery, born NewNursery, and ICU/CCU.

Ambulance Internship part I

supervised experience in the pre-hospitar care setting help the that willstudent deverop and implement the principles con-cepts and of the Advanced Life Support system.

will The practice student skilrs as a team member, at Basic and

EMT Advancedlevel,^-under the direct supervision of a field prrr.pio,

Ambulance Internship part II

122

tzt(tzz) vt\rN€IT;I-:E-_T1_$T{1_2i.?g]5 ___jl.T 1 _fT) -

.Supervised experience in the pre-hospital care (ambulance), i which will allow the student to apply all principles concepts, and skills iearned in the classroom, at the paramedic level. The student will practice skills as the team leader under the direct supervision ofa field preceptor.

Ambulance Simulator II

Scenario based training; ALS (Advanced Life Support) performance and leadership.

Hazardous Materials Awareness

Eight contact hours training; farrriliarization and identification of common chemical products/hazardous materials trunsported via roadway, railway, and maritimroutes; hazardous' materials classification; personal protective equipment, decontamination process; HazMat Team; Emergency Response Guide.

Technical Rescue Awareness

8 contact hours of training; Accident vehicle Extrication:

Railroad/Train accidents; High Angle and. Low Angle Rescue; Urban Search and Rescue.

Response to Terrorism

Incidents Awareness 4

contact hours training

Accident Victim

Extrication Techniques 12-16

contact hours training

CEVO-Coaching Emergency Vehicle

Operator (Ambulance) l0! i2 contact

hours of training

Schedule-14

[See regulation 4l(2)l

Syllabus of Diploma in Ophthalmic Technology

DIPLOMA PART 1

OP-l Basic Ocular Science OP-2 Ophthalmic Instruments OP-3 Basic Optics

OP-4 Community Ophthalmology-I OP-5 Instrumental Handling & Application

123

11ry_4_F)_,:_!rcf{QIE {M-q-r, errfrrr 29.?qU_ * _14!A

DIPLOIVIA PART 2

OP-6 Common Ocular Disorders OP-7 Ophthalmic Techniques OP-8 Refraction

OP-g Community Ophthalmology-Il OP-l0 Clinical Skill Trainins

TBACHING AND EXAMINATION SCHEME

For Di Ist Year thalmic Subject

Distribution Distribution of Marks of time

Th IPR I viva- itotat

Basic Ocular Science

thalmic Instruments

loP-3

loP-4 Community l_

thalmo loP-5 Instrumental Handling &

I

-

Apnlication bF- Sessional Assessment l r e - n - s ^PRS

BASIC OCULAR SCIENCE

RATIONALE

This paper introduces eye as the primary organ of vision & its surrounding structures. It gives in detail the anatomy (structure) & physiology (functions) of the various parts of visual system.

CONTENTS

1, Anatomy of the Eye:

Orbit, its relations & vascular, communications, Eyelids & its glands, Conjunctiv a, Lauimal apparatus, Extra-ocular muscles, Cornea & sclera, Iris. Ciliary body & Choroid, Lens & Vitreous, Retina & Optic herve, Visual pathway, Circulation of the eye, Cr"

Nerves, Para-sympathetic & sympathetic nerves in relation to eye, Embryology of the eye, Pituitary gland and cavernous sinus.

2. Physiology of The Eye:

Functions of parts of eye, structure

and functions of the eyelid, functions of lacrimal apparatus and tear film dynamics, aqueous humour & intraocular pressure,

pupil and pupillary

124

W2015 qr.r4(.r) reflexes, pathways, pupil abnormalities, eye movements, extra and intra-ocular muscles: functions and contiol, light sense & night vision, colour sense (colour vision), visuai pith*uy, & fields, visual cortex, uni-ocular & bin-ocuiar vision, accommod ation & convergence, electro-retino-gram & adaptation, visual acuity & testing.

3. OcularMicrobiology:

. Normal flora of eye, fungi & protozoa, bacteria (aerobic/anaerobic), viruses, Laboratory

4. techniques. Sterilization.Ocular Pharmacology:

General routes of drug administration & osmotic agents. Miotics. Mydriatics and cycloplegics. ocular Hypotensives. Local anaesthetics & Analgestcs., Sedatives and tranquilizers. General anaesthetic agents. Antiseptics. Anti-viral & enti-fungal ocular agents. anti-inflammatory agents., chemo-therapeuti-c- agents. Yiry. drugs used by ophthalmologist.

Reference Books

1' ophthalmic Assistant - vol. I (Anatomy) 2. - Dr. L.p. Agarwar. Physiology of the eye: Arvind Eye Hospital. Ophthalmic Instruments

RATIONALE

ophthalmic instruments are used in diagnosis and treatment of eye diseases. These instruments are delicate and costly; require regurar servicing of -presents these equipments. This appendix generar guidelines for the care of instruments, including special cautions to observe and techniques to employ for their han'ating, qlea;ing and maintenance.

CONTENTS

l. Ophthalmic Equipments & Ophthalmic Techniques l.l Ophthalmic equipments,

1.2 Examination of eye

1.3 Specialinvestigations. 1.3.1 Conjunctival smear. Flourescein Staining and pH testing, colour vision.

1.3.2 Various Eye Instruments, their principles and use.

Refractomctcr Autorefractor and focimcter, Tension taking; (Schiolz/ Applanation/ Non contact), Keratometry, pachometry, Anaesthesiometry and dark adaptometry, A

125

ots^;tzt(tzs\ & B Scan, Field Examination Ophthalmic / Charting,photography, Photography Fundus & Fundus-

Flourescein AngiograPhY' ReferenceBooks:

1. Text book

2. of Ophthatmolosv ^Dr. A.K. Essenrials Khurana of Ophttralmofoiy Dr. L.P. Agarwal Basic Optics

rhis paper gives a b"rt"Hl?.T1"t3, oo,,.r,

nature of refractive Lenses and theerrors.

CONTENTS

" Physical Optics _General properties of light, Principles Principles of of Reflection of of light,Refraciion

light, Lenses combinations. & their

2. Physiological Optics

. General concepts of eye as a refracting Reference apparatus Books:

I Principles^of 2. optic & Refraction Dr. Theory L.P. Agarwaland prictic.^6,h Ed of SquiniA Orthoptics

Dr. A.K. Khurana

Community Ophthalmology-I

He/She is able to assisr tr#;'r".il:,1;? of

control visual impairment of brindness andas a part of health man power development.

CONTENTS

Eye screening programme, school clinics Blind person and surveys, aid and his probrems. Rehab'itation blind' Health of the education in

of tie fierd of eye .ur., purr",ioning mobile eye health care units, Causes impairment of visualand blindness.

organising Eye camps: Reach In & Reach

Permission, out concept.site.seleciion, publicity, asepsis, post-op Operative care, follow-up.^andRole of authoriii.r'und funding. ro.ui uoay

Reference Books:

l. . Ophth. Assistant Vol. V

(Community Ophth.)

Dr. L.P. Agarwal

126

l zr gEBttr Qza)__ _ rry !E_92. 2p,,?01p, __IILl-ff)

. Instrumental Handling & Application rhe students at the end::l#l?fiflt. ."" ,o ,.n0", assistance to oph tharmol gi o sts/do. to.r in tution r. "i."i^.iti TPRACTICALS r n .. , r. rractrcal .A9 an Ophthalmic Assistant: l.l Initial patient contact & Ethics 1.2 Office "ral;."p,ion manners, S."[tu.iul assistance, Record &their retrieval. Ophthalmic equipments I ? '" 1.4 Examination of .y" 2. Sterilization & Theatre: ; ' Generar Aspects, Ster'ization Disinfection, Theatre r and preparation, auio.iu"ing fetup & hot air oven, Eye rnstruments. Operating room .quiprr,"ni uf ,rppfi"rl,practical 3 Training n-!.u,ir.,"' 3.1 Reception / l;;;;J'Keeping Rotational dury, Receiving patients ;;ii;;"..-;aking fl":J appointments, making opl/haoor1i.t.u, ronr.n,(Distani. 3.2 F5l?,,lTion ^r.";t,ij;;";;ktil. _.Disrancerrtrear

250 cases X:::: l?llidilg (rshihara) Recording ii cL'u'ls.s.s, i:!*l:ion Identification of Lense.'rs"i""ti" ," n1.i, (S_pherical, Cylindrical, . anrr D_i.*^ o_ ,fr.r "i -r " tf:.* Neut*r iru,l"" s .ur.," fl 9^J, lt:il TEACHTNG AND BxAMiNaiffiii i""?,ifiorD rnatmolrS.No.

Subject

Distribution

Distribution of Marki of time

perHours Exam

Week

rh n'Tpn-fvt*_ lpR]-r lr;tar li llV^.oloP-6 vvrlulull LrCUlaf I

r00 r00Disorders \-/Pilrnalmlc

I

r00Techniques r00 I.l.crractlon

I

l0oP-9 r00ry

I

r00 100

127