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In a town, population at the beginning of the year was 40,000 which increased
to 55,000 by the end of the year. In the same year 1350 babies were born and
350 people died. Calculate the crude birth rate and the crude death rate of
the town.
In a certain town of the Terai, 750 people were the in-migrants in 2060 B. S.
In the same year 350 people migrated to Kathmandu from that town. If the
mid year population of the town in the same year was 45000 find out the net
migration rate (NMR) and gross migration rate (GMR).
The population of any one district of Nepal was 1,50,000 in Rs 2058 B. S. In
the same year 1000 people moved to other places and 900 came there for
settlement. Now find out the CDR and the GMR.
The CBR the CDR and the NMR of Nepal during 2001 A. D. were 33.1,9.6
and 4.5 respectively. What would be the rate of natural increase (RNI) and
population growth rate (PGR) of Nepal in that year?
In one of the villages in Bhojpur, during 2002 A. D., the total number of death

The parents of a 9-year-old girl bring their daughter to the ed. for the last 12 hours, the child has suffered severe nausea and vomiting, as well as diarrhoea and abdominal cramps. further discussion with the child indicates that she suffers from blurred vision and headache. the parents originally were worried about bringing the child to the ed because they feared deportation since the family are illegal immigrants employed to pick strawberries on a nearby farm. on direct questionning, the parents admit that the child was assisting with spraying crops with pesticides the previous day. none of the family members was wearing any protecting clothing. her bp is 88/48 mmhg, pulse is 90/min, rr 33/min, temp 38 c. the child appears sweaty and confused. auscultation of the lungs reveals a diffuse wheeze bilaterally. pupils are miotic and the child has diffuse muscle weakness. which of the following interventions is the most appropriate treatment? - atropine- charcoal- glucagon- naloxone- exposure: consider organophosphate poisoning, which inhibits cholinesterase and results in accumulation of ach in both muscarinic and nicotinic sites. pralidoxime activates achatropine competes with ach only at muscarinic receptors, but will not reverse nicotinic effectscharcoal = gastric decontaminationglucagon = reverse beta-blocker overdosenaloxone = reverse effects of opioids

Matching: 1. first used by europeans as a local anesthetic; now abused for its euphoric effects 5 marijuana 2. found in coffee beans, tea leaves, and cocoa beans 2 heroin 3. prescribed for pain involving serious injury or surgery 1 morphine 4. illegal derivative of morphine that is sold on the street as a white powder 6 caffeine 5. can evoke feelings of terror and panic 4 lsd 6. causes user to experience a conscious dreamlike state 3 cocaine

Why there must be community participation in primary health care