disease, such as those with a family history of eye disease, diabetes or high “Much like mammograms and diabetes screenings, regular eye exams will help …


NEICAC FAMILY PLANNING

MEDICAL HISTORY

Review of Systems

Name:________________________________________________________
Birthdate:_________________ Age:________
Last First
Initial

Reason for your visit
today:______________________________________________________________________
_____
Family Planning serves a wide range of women We have tried to make this
form as complete as possible, realizing that some questions will not apply
to every womans particular circumstances All information is strictly
confidential

CONTRACEPTIVE HISTORY

Check all birth control methods you have used: Pill DepoProvera
Lunelle IUD Condom Sterilization Diaphragm
Foam/Suppository Natural Family Planning Rhythm Withdrawal
Other_________________________________________

|YES |NO | |
| | |Do you or your partner use birth control now? |
| | |If yes, what methods do you use?_________________________ How long have |
| | |you used this
Read More »

Please fax an enlarged COPY of the front and back of your Type 1 or Type 2 Diabetes, Insulin Controlled ” Type 2 Diabetes, Non-Insulin Controlled ” …


Please fax an enlarged COPY of the front and back of your INSURANCE CARD to
323-442-3351

Step 1: Health Questionnaire

1 Do you have any of the following conditions check all that apply? :
High Blood Pressure Hypertension
Type 1 or Type 2 Diabetes, Insulin Controlled
Type 2 Diabetes, Non-Insulin Controlled
Heart Disease
High Blood Cholesterol

Please list any other conditions:
______________________________________________
________________________________________________________________________

Yes No

2 Has a doctor ever said you have heart trouble or a heart condition?

3 Do you frequently suffer from pains in your chest?

4 Do you often feel faint or have spells of severe dizziness?

5 Has a doctor ever told you that you have a bone or joint problem,
such as arthritis, that has been aggravated or made worse by
exercise?

6 Is there a physical reason, not mentioned here, why it might be
hazardous for you to follow an
Read More »

non communicable diseases: diabetes, hypertension, cardiovascular disease, For Diabetes, HIV-AIDS/TB, and Mosquito-Borne Diseases …


College of Micronesia-FSM
Course Outline

Course Title: Non Communicable/Communicable Diseases Department No CHS
232a

Course Description: This is a survey course of the most important diseases
that afflict people in Micronesia Its focus is on the interplay of host,
agent and environmental factors in the production of disease and on the
things that can be done to prevent each disease and to prevent disability
and death once disease occurs

Course Prepared By: Dr Mark Durand Campus: Yap

Hours Per Week No of Week Total Hours Semester
Credits
Lecture _____5_______ x ______16_______ ______80____
______5_______ Laboratory___________ x________________
____________ ______________
Workshop ____________x________________ ____________ ______________

Total Semester Credits ____5______

Purpose of Course: Degree Requirement ________________
Degree Elective ________________
Certificate ______X_________
Other ________________

Prerequisite: CHS 220a

Signature Chairperson, Curriculum Committee
Read More »

diabetes, coronary artery disease, and the need for dental care. include diabetes, degenerative joint disease, gout, alcoholism, gallbladder disease, …


1 Early adulthood is generally a healthy period, which challenges the
health care worker
to be even more sensitive, insightful, and creative in implementing care
Health and
physical processes in the young adult are frequently taken for granted
Concern for health and well being is lower among those in the twenties and
starts to increase in the mid thirties

2 Young adulthood is marked by several events, such as taking on
financial responsibilities, making career choices, beginning social
relationships, entering
marriage, and becoming a parent It is the time to establish goals in
preventive care Most young adults need to increase their awareness of risk
factors related to smoking, drug abuse, problem drinking, sexually
transmitted disease, as well as problems with
obesity or poor eating habits and lack of exercise New roles in taking on
family responsibilities make it important to know about unwanted pregnancy,
cancer,
diabetes, coronary artery disease, and the need for dental care Public
education is the
best way to promote health and alterations in young adult life styles

3 In the mid-thirties, there is increased awareness of the need for
physical fitness, while
acknowledging
Read More »

Diabetes Atherosclerosis Intervention Study. Nutrition Subcomittee of the British Diabetes Association’s Professional Advisory Committee. …


Plate Method/Model References

1 Armstrong J The plate model for dietary education [abstract] Proc
Nutr Soc 1993;52:19A

2 Hendricks S Nutrition Education–beyond the facts Can J Public
Health 1993;84:367-368

3 J Am Diet Assoc 1998 Oct;9810:1155-8 The Plate Model: a visual
method of teaching meal planning DAIS Project Group Diabetes
Atherosclerosis Intervention Study Camelon KM, Hadell K, Jamsen PT,
Ketonen KJ, Kohtamaki HM, Makimatilla S, Tormala ML, Valve RH
Department of Nutrition, Toronto Hospital, Ontario, CanadaRizor H

4 Karlstrom B, Vessby B, Eliasson M Diet– A balanced approach In:
Larkins R, Zimmett P, Chisholm D, eds Diabetes 1988 Amsterdam,
Netherlands Elsevier; 1989:923-925

5 Kicklighter JR Characteristics of older adult learners: A guide for
diabetes practitioners J Am Diet Assoc1991;91:1418-1422

6 Nutrition Subcomittee of the British Diabetes Associations
Professional Advisory Committee Dietary recomendations for people
with diabetes: An update for the 1990s Diabetic Medicine 1992;9:189-
202

7 Nutrition Subcomittee of the British Diabetes
Read More »

serious medical and psychiatric diseases: Diabetes, Epilepsy, Heart Disease, etc. History (T.B., epilepsy, Diabetes, etc.) PHYSICAL. 1. General …


KENTUCKY DEPARTMENT OF EDUCATION
MEDICAL EXAMINATION OF SCHOOL EMPLOYEES

|Name | |Date of |____/____/__|Sex:|M| |F| |
| | |Birth |__ | | | | | |
|Address| |Telephone| |
|Applicant With Or | |Board of |
|Employed By | |Education |

HISTORY

|Medical All serious medical and psychiatric diseases: Diabetes, | |
|Epilepsy, Heart Disease, etc | |
| |
| |
| |
|Surgical All major | |
|operations | |
|
Read More »

To strengthen education and training in diabetes research, prevention and control. The prevalence of diabetes has blown out of proportion in India. …


Diabetes Research Centre
A WHO Collaborating Centre for
Research, Education and Training
in Diabetes in India

MVHospital for Diabetes

ANNUAL REPORT
Jan2007 - Dec-2007

DrVijay Viswanathan
MD,PhD, MNAMS
Head of the WHO Collaborating Centre
No 4, Main Road, Chennai-13
Tamilnadu, India

E-Mail: dr_vijay@vsnlcom, drvijay@mvdiabetescom
Website: wwwmvdiabetescom,wwwwhoccdindiacom
Phone: 91-044-25954913, 25965018
Fax: 91-044-25954919

World Health Organization Collaborating Centre

ANNUAL REPORT
Year- 2007

Terms of Reference

1 To conduct epidemiological research in diabetes prevention at community
level, its complications
Read More »

KENTUCKY DEPARTMENT OF EDUCATION. MEDICAL EXAMINATION OF Medical (All serious medical & psychiatric diseases: Diabetes, Epilepsy, Heart Disease, etc. …


KENTUCKY DEPARTMENT OF EDUCATION
MEDICAL EXAMINATION OF SCHOOL EMPLOYEES

Name___________________________________________________________Birth
Date__________________________Sex: M_____F_____

Address_____________________________________________________________________
_Telephone_______________________________

Applicant With Or Employed
By_______________________________________________________________________Boa
rd of Education

HISTORY

Medical All serious medical psychiatric diseases: Diabetes, Epilepsy,
Heart Disease, etc

Surgical All major
operations_________________________________________________________________
_________________________

Family History TB, Epilepsy,
Diabetes,___________________________________________________________________
_______________
_______________________________________________________
_____________________________________________________________

PHYSICAL

1 General Appearance ______________________
2 Eyes____________________________________
3 Ear, Nose Throat_______________________
4 Teeth
Read More »

American Diabetes Ana Gonzalez. Ana shared statistical information and graphs on Latino diabetes. Step Out to Fight Diabetes - Shelby Dopp. …


Chula Vista Community Collaborative
Minutes
October 9, 2007
9:00-11:00 AM
Health and Human Services Agency
690 Oxford, Chula Vista

Welcome and Introductions -Margarita Holguin welcomed everyone New
members were introduced
Margarita noted that CVCC continues its commitment to connect resources to
needs - CVCC is working on development of a Promotora Training Curriculum
and is reaching out to partners for existing training topics and material

CVCC is also looking for ways to visibly show the effectiveness of the CVCC
monthly meetings and is looking for creative ways to show partner agencies
the successes and connections at CVCC

South Bay Childrens Museum - Erica Newton Fessia Erica is the Co-founder
and Executive Director of the South Bay Childrens Museum, which was
established in June 2007 Erica discussed the museums mission, planning
and why the South Bay was selected They have just received their 501c3
status Development will be in three phases: Mini-Mobile launched in Sept
2007 this phase is designed to expose the community to
Read More »

Please explain yes’ answers Circle your choice. 1. Have you ever been hospitalized? your heart, blood pressure, diabetes, or seizures? …


LAWRENCE UNIVERSITY

ATHLETIC MEDICAL QUESTIONNAIRE

Please print clearly

Name __________________________________________ Date
_________________________
Sport __________________________________________ DOB
_____/_____/________
Class Year Fr ____ So ____ Jr ____ Sr ____ LU
ID______________________
School address _____________________________ Home Address
__________________________
_____________________________
__________________________
Cell phone____________________ Home phone
_________________________

Please explain yes answers Circle
your choice

1 Have you ever been hospitalized?____________________________________
Yes No
2 Have you ever had surgery? ________________________________________
Yes No
3 Are you presently taking any over-the-counter medications or
supplements? Yes No
____________________________________________________
Are you presently taking any prescription medications?
__________________ Yes No
4 Do you have any
Read More »