Hi! I'm Orris. How can I help you today?

Tell me what all can u do for me

Here's what I can do for you:

🔍 Research & Information

Answer questions on any topic - science, history, tech, culture, law, etc.
Search the web in real time for current news, events, and facts
Find and summarize peer-reviewed medical literature (PubMed)
Access a medical textbook library for clinical/pharmacology/anatomy questions

🏥 Medical & Clinical

Explain diagnoses, symptoms, drugs, mechanisms, procedures
Retrieve content from authoritative medical textbooks with images
Find recent clinical evidence, guidelines, and drug trial data

📄 Document Creation & Editing

Create and edit Word documents (.docx) - reports, letters, memos
Build PowerPoint presentations (.pptx) - slides, pitch decks
Generate and manipulate PDFs - merge, split, extract, OCR
Create and edit Excel spreadsheets (.xlsx) - formulas, charts, data cleaning

🧮 Code & Computation

Write, run, and debug code (Python, JavaScript, shell, etc.)
Perform data analysis and visualization
Execute shell commands in a live sandbox environment

🎨 Image & Visual Generation

Generate images, diagrams, posters, flashcards, postcards
Analyze and describe images/videos you upload

💰 Tax & Finance (India)

Answer questions on Indian Income Tax, GST, Transfer Pricing
Help with CA/CMA/ACCA exam prep using authoritative study materials

📁 File Handling

Read and process files you upload (PDFs, Word, Excel, images, CSVs)
Download, convert, and deliver files back to you

Just tell me what you need - I'll get right to it!

Explain me this

Let me read the PDF skill first, then extract and explain the document for you.

Reading File

Now let me extract the text from the PDF:

Running Command

python3 -c " import pdfplumber with pdfplumber.open('/home/daytona/workspace/attachments/4fb26ddf-a620-444a-a73a-96fa44418072/Psm health program.pdf') as pdf: print(f'Total pages: {len(pdf.pages)}') for i, page in enumerate(pdf.pages): print(f'\n===== PAGE {i+1} =====') text = page.extract_text() if text: print(text) else: print('[No text found on this page]') "

The PDF appears to be image-based (scanned). Let me convert the pages to images and analyze them visually.

Running Command

python3 -c " import subprocess import os pdf_path = '/home/daytona/workspace/attachments/4fb26ddf-a620-444a-a73a-96fa44418072/Psm health program.pdf' out_dir = '/home/daytona/workspace/psm_pages' os.makedirs(out_dir, exist_ok=True) result = subprocess.run( ['pdftoppm', '-png', '-r', '150', pdf_path, f'{out_dir}/page'], capture_output=True, text=True ) print('stdout:', result.stdout) print('stderr:', result.stderr) print('Return code:', result.returncode) print('Files created:', sorted(os.listdir(out_dir))) "

Pages converted. Now let me analyze all 12 pages visually in parallel:

analyse_media

The analyse_media tool needs HTTP URLs. Let me use fetch_image instead to read the pages directly:

Loading Image

Let me try reading the images using the read_file tool directly and use OCR via pytesseract:

Running Command

python3 -c " import pytesseract from PIL import Image import os out_dir = '/home/daytona/workspace/psm_pages' pages = sorted([f for f in os.listdir(out_dir) if f.endswith('.png')]) full_text = '' for page_file in pages: img_path = os.path.join(out_dir, page_file) img = Image.open(img_path) text = pytesseract.image_to_string(img) full_text += f'\n===== {page_file} =====\n{text}\n' print(full_text[:8000]) "

Running Command

python3 -c " import pytesseract from PIL import Image # Just do first 2 pages to test for i in [1, 2]: img = Image.open(f'/home/daytona/workspace/psm_pages/page-0{i}.png') text = pytesseract.image_to_string(img) print(f'===== PAGE {i} =====') print(text[:2000]) print() " 2>&1

OCR is working well. Now let me extract all remaining pages:

Running Command

python3 -c " import pytesseract from PIL import Image for i in range(3, 13): fname = f'/home/daytona/workspace/psm_pages/page-{i:02d}.png' img = Image.open(fname) text = pytesseract.image_to_string(img) print(f'===== PAGE {i} =====') print(text[:3000]) print() " 2>&1

I've extracted all 12 pages. Here's a full, clear explanation of the document:

PSM Health Programmes of India - Complete Explanation

This is a study notes document for Preventive & Social Medicine (PSM), covering major National Health Programmes of India. It has 12 pages covering 9 key programmes. Here's a breakdown of each:

1. National Vector Borne Disease Control Programme (NVBDCP) - Page 2

This programme controls diseases spread by mosquitoes, ticks, and other vectors.

Historical evolution:

1953 - National Malaria Control Program started
1958 - Shifted to eradication goal
1977 - Modified Plan of Operations
1997 - Enhanced Malaria Control Project (focused on tribal areas with high burden)
1998 - Roll Back Malaria (WHO-funded)
2004 - NVBDCP formed, combining all vector-borne disease control

Key indicators:

API (Annual Parasite Incidence) - < 1 case/1000 population is the target
ABER (Annual Blood Examination Rate) - should be > 10%
API > 2 = high burden area

Goals: Eliminate Kala Azar and Lymphatic Filariasis; Control dengue mortality

Strategies:

Disease Management - Early diagnosis & treatment, referral strengthening
Integrated Vector Management (IVM):
- Anti-larval measures: larvivorous fish (Gambusia, Lebistes), chemicals (Paris Green, Temephos/Abate), Bacillus thuringiensis
- Anti-adult measures
- Personal protection
Supportive: BCC (Behavioural Change Communication), intersectoral convergence, public-private partnerships

2. National AIDS Control Programme (NACP) - Page 3

Background: Started 1992; now in Phase VI (2021-2026) - "Targeted and Sustainable Response"

Implemented by: NACO (National AIDS Control Organisation) under Ministry of Health & Family Welfare

NACP VI Goals (95-95-95 targets):

95% of PLHIV know their HIV status
95% of those who know their status are on ART
95% on treatment have viral suppression
Reduce new infections to < 2% (general) and < 10% (key populations)
< 10% experience stigma or gender-based inequity

Treatment:

Free ART through government facilities
First-line regimen: TLD (Tenofovir + Lamivudine + Dolutegravir)
Care & Support Centres (CSCs), Link ART Centres, Counselling services

Prevention: HIV testing services, PPTCT (Prevention of Parent-to-Child Transmission), Targeted Interventions (for FSW, MSM, PWID, Transgender persons, Migrants), Condom promotion, IEC

Organisational structure: NACO → SACS (State) → DAPCU (District) → ICTC/ART/CSC centres

3. National Tuberculosis Elimination Programme (NTEP) - Pages 4 & 5

Goal: End TB by 2025 (Elimination Strategy)

Reduce mortality by 90% and incidence by 80%

National Strategic Plan (2017-2025): Detect - Treat - Prevent - Build

Case Detection types:

Active (community screening in high-risk groups)
Intensified (screening in clinics for diabetics, PLHIV, COVID, malignancies)
Passive (clinic-based reporting)

Drug Resistance Classification:

Type	Definition
Mono-Resistant	Resistant to 1 drug
Multi Drug Resistant (MDR)	Resistant to both Rifampicin + Isoniazid
Pre-XDR	MDR + any fluoroquinolone
XDR (Extensively Drug Resistant)	MDR + fluoroquinolone + Group A drug

Key Drug Groups:

Group A: Levofloxacin/Moxifloxacin, Bedaquiline, Linezolid
Group B: Clofazimine, Cycloserine
Group C: Ethambutol, Delamanid, Pyrazinamide, others

Treatment Monitoring: CBC, LFT (for Pyrazinamide/Isoniazid hepatotoxicity), Renal function, TSH (Ethionamide causes hypothyroidism), ECG (Bedaquiline)

4. National Leprosy Eradication Programme (NLEP) - Page 6

Tagline: "Leprosy can be cured - Early detection + Complete treatment + Zero disability"

Objectives:

Prevalence rate < 1 case/10,000 population
Annual new case detection rate < 10 cases/lakh population
Grade II disability < 1% among new cases
Zero disabilities among new child cases

Awareness: SPARSH initiative with mascot "Sapna" (a cured leprosy case, village school girl)

Prophylaxis: Single dose Rifampicin given to close contacts

Age-based dosing: ≥15 years = 600 mg; 10-14 years = 450 mg; 5-9 years = 300 mg; < 5 years (> 20 kg) = 10-15 mg/kg

Treatment (MDT Regimen):

Paucibacillary (PB): Rifampicin + Dapsone for 6 months
Multibacillary (MB): Rifampicin + Dapsone + Clofazimine for 12 months

ASBULS: ASHA-Based Surveillance of Leprosy - door-to-door; incentive ₹250 (case without disability) / ₹200 (with disability)

5. National Mental Health Programme (NMHP) - Page 7

Launched: 1982 under Ministry of Health & Family Welfare

Vision: Accessible, affordable, quality mental health care for all

Mental morbidity in India: 18-20 per 1000 population

Major mental illnesses: Psychosis, Endogenous depression, Mania, Schizophrenia

Objectives: Make mental health care available to all, promote community participation, increase mental health professionals, integrate mental health into general health care

IQ Classification (Wechsler's Scale):

50-70: Mild retardation
35-49: Moderate retardation

Key component: District Mental Health Programme (DMHP) - integration at district level through health centres and medical colleges

Barriers to Mental Health Care: Stigma, lack of awareness, shortage of professionals, financial constraints, cultural myths

6. Reproductive, Maternal, Neonatal, Child & Adolescent Health (RMNCH+A) - Pages 8 & 9

India's MMR: 97 per 100,000 live births (SRS 2018-20), declining from 130 in 2014-16

SDG Target: Global MMR < 70 per 100,000 live births by 2030

Major causes of maternal death: Haemorrhage, Hypertensive disorders, Sepsis, Abortion complications, Obstructed labour

High burden states: UP, Bihar, MP, Rajasthan, Chhattisgarh, Assam

Key Schemes:

JSY (Janani Suraksha Yojana) - Cash assistance for institutional delivery
JSSK (Janani Shishu Suraksha Karyakram) - Free delivery, drugs, diagnostics, transport
PMSMA (Pradhan Mantri Suraksha Matritva Abhiyan) - Free ANC check-up on 9th of every month
LaQshya - Labour Room Quality Improvement Initiative

First Referral Units (FRU): Must have blood storage, C-section facility, newborn care; minimum 20-30 beds

Maternal Mortality Types (WHO):

Direct Obstetric Death - from obstetric complications
Indirect Obstetric Death - from pre-existing disease aggravated by pregnancy
Incidental Death - accidental cause (e.g., road accident)
Late Maternal Death - death 42 days to 1 year after pregnancy termination

7. National Programme for Prevention & Control of NCDs (NP-NCDs) - Page 10

Earlier name: NPCDCS (2010) - covering Cancer, Diabetes, CVD, Stroke; now expanded to NP-NCDs under NHM (now PM-Samagra Swasthya Mission)

Best level of NCD prevention: Primordial prevention

WHO Global Action Plan targets (by 2025):

30% reduction in tobacco use
25% reduction in raised blood pressure
10% reduction in physical inactivity
30% reduction in salt/sodium intake
No increase in diabetes/obesity

MPOWER (Tobacco Control):

Monitor tobacco use
Protect people from tobacco smoke
Offer cessation help
Warn about dangers
Enforce advertising bans
Raise taxes on tobacco

Newer diseases added to NP-NCDs: COPD, CKD, Non-alcoholic fatty liver, Non-ST elevation MI, RHD

STEPS Approach (WHO): Questionnaire (sociodemographic) → Physical measurements (anthropometry) → Biochemical (lab investigations)

8. National Polio Eradication Programme (NPEP) / Polio Endgame Strategy - Page 11

Launched: 1995 | India declared Polio-free: 27 March 2014

Polio Endgame Strategy (2019-2026):

Goal 1: Permanently interrupt Wild Poliovirus (WPV) transmission (endemic countries: Afghanistan & Pakistan)
Goal 2: Stop Circulating Vaccine-Derived Poliovirus (cVDPV)
Goal 3: Certification of eradication

Vaccine Switch:

Before 2016: tOPV (Trivalent OPV)
2016: Switched to bOPV (Bivalent OPV) - because Type 2 WPV was eradicated
Future: Replace bOPV with IPV entirely

IPV (Inactivated Polio Vaccine): Prevents VAPP (Vaccine-Associated Paralytic Polio) and cVDPV

AFP Surveillance (Acute Flaccid Paralysis):

Target: Children < 15 years
AFP Reporting Rate target: > 1 case/100,000 children/year
Stool adequacy rate: > 80%
2 stool samples, 24 hours apart, within 14 days of paralysis onset
Follow-up at 60 days

Mop-Up Strategy: Door-to-door vaccination in 2-3 rounds, 4-6 weeks apart, in areas with limited transmission

9. Child & Adolescent Health Initiatives - Page 12

Key Programmes:

NSSK (Navjat Shishu Suraksha Karyakram) - 2 days training to healthcare workers on newborn care & resuscitation
RBSK (Rashtriya Bal Swasthya Karyakram) - Screening for 4Ds in 0-18 years: Diseases, Defects, Deficiencies, Developmental delays. 32 conditions screened
HBNC (Home-Based Newborn Care) - Provided by ASHA workers
IMNCI - Integrated Management of Neonatal & Childhood illnesses
ICDS - Integrated Child Development Services

Menstrual Hygiene Scheme (MHS):

Target: Adolescent girls (10-19 years) in rural areas
Sanitary pads at subsidized rate: ₹6 for pack of 6
ASHA workers distribute and receive ₹1 incentive per pack sold

AFHC / ARSH (Adolescent Friendly Health Clinics):

Weekly Iron Folic Acid Supplementation: 60 mg iron + 500 mcg folic acid
RTI/STI services, menstrual hygiene promotion

Summary Table

Programme	Key Target/Goal
NVBDCP	Control malaria, dengue, filariasis, kala-azar
NACP (Phase VI)	95-95-95 HIV targets; end AIDS by 2030
NTEP	Eliminate TB by 2025
NLEP	< 1 case/10,000 population
NMHP	Accessible mental health care for all
RMNCH+A	MMR < 70/100,000 (SDG by 2030)
NP-NCDs	Reduce premature NCD mortality
NPEP	Maintain polio-free status; endgame strategy
Child/Adolescent Health	Screen 4Ds in 0-18 years; ASHA-based delivery

This document is clearly intended for MBBS/MD exam preparation in PSM, with quick-reference charts, abbreviations, and high-yield facts formatted for efficient revision.

This is a shared conversation. Sign in to Orris to start your own chat.