Akash Group of Institutions nursing college Karnataka B.Sc nursing

RGUHS B.Sc Nursing 1st year syllabus subjects INC curriculum 2024

https://www.pw.live/nursing/exams/bsc-nursing-syllabus

mkdir -p /home/daytona/workspace/nursing-study-guide && ls /home/daytona/workspa…

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// ─── DOCUMENT SECTIONS ───────────────────────────────────────────────────────

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  new Paragraph({ alignment: AlignmentType.CENTER, spacing: { before: 100, after: 60 },
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    children: [new TextRun({ text: "B.Sc NURSING", bold: true, size: 48, color: "FFFFFF", font: "Calibri" })] }),
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    children: [new TextRun({ text: "FIRST YEAR STUDY GUIDE", bold: true, size: 36, color: "FFFFFF", font: "Calibri" })] }),
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    children: [new TextRun({ text: "RGUHS Curriculum  |  Akash Group of Institutions, Karnataka", size: 22, color: COLORS.primary, font: "Calibri", italics: true })] }),
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    children: [new TextRun({ text: "Academic Year 2026-27", size: 22, color: COLORS.accent, bold: true, font: "Calibri" })] }),
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  para("Governed by: Indian Nursing Council (INC), New Delhi", { color: "555555", italic: true }),
  pageBreak()
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// ─── SECTION 1: OVERVIEW ─────────────────────────────────────────────────────
const section1 = [
  heading1("SECTION 1: COURSE OVERVIEW"),
  heading2("About B.Sc Nursing at RGUHS"),
  para("Rajiv Gandhi University of Health Sciences (RGUHS) is the affiliating university for all nursing colleges in Karnataka. The B.Sc Nursing program is a 4-year undergraduate degree regulated by the Indian Nursing Council (INC). The curriculum is divided into 8 semesters (2 per year)."),
  para("Akash Group of Institutions (Devanahalli, Bangalore) has an attached hospital — Akash Hospital — providing direct clinical exposure from your first year itself."),

  heading2("1st Year at a Glance"),
  makeTable(
    ["Subject", "Type", "Hours/Week", "Difficulty"],
    [
      ["Anatomy", "Theory + Practical", "6", "★★★★★"],
      ["Physiology", "Theory + Practical", "5", "★★★★☆"],
      ["Biochemistry", "Theory + Practical", "4", "★★★★☆"],
      ["Nutrition & Dietetics", "Theory + Practical", "3", "★★★☆☆"],
      ["Nursing Foundations", "Theory + Practical", "6", "★★★☆☆"],
      ["Psychology", "Theory", "3", "★★☆☆☆"],
      ["Microbiology", "Theory + Practical", "4", "★★★★☆"],
      ["English", "Theory", "2", "★★☆☆☆"],
      ["Computer Application in Nursing", "Practical", "2", "★★☆☆☆"],
    ]
  ),

  heading2("RGUHS Exam Pattern"),
  makeTable(
    ["Assessment", "Marks", "Minimum Pass", "Notes"],
    [
      ["Theory (Internal)", "20", "8 (40%)", "2 internal exams per semester"],
      ["Theory (University Exam)", "80", "32 (40%)", "Written paper - 3 hours"],
      ["Practical (Internal)", "25", "10 (40%)", "Skills tested by college faculty"],
      ["Practical (University)", "50", "20 (40%)", "External examiner + viva voce"],
    ]
  ),
  tipBox("⚠️ Important", "You must pass BOTH theory and practical separately. Failing practical does not let you pass even if theory marks are high.", COLORS.lightOrange, COLORS.orange),
  pageBreak()
];

// ─── SECTION 2: ANATOMY ──────────────────────────────────────────────────────
const section2 = [
  heading1("SECTION 2: ANATOMY"),
  heading2("Why Anatomy is the Hardest 1st Year Subject"),
  para("Anatomy covers the complete structure of the human body — bones, muscles, nerves, blood vessels, organs, and their relationships. It is the largest subject in 1st year and the foundation for everything you will study in years 2-4. If you understand anatomy well, clinical nursing becomes much easier."),

  heading2("Key Topics to Master (RGUHS Focus Areas)"),

  heading3("1. Skeletal System"),
  bullet("206 bones of the human body — names, locations, classification"),
  bullet("Axial skeleton: skull, vertebral column (33 vertebrae), ribs, sternum"),
  bullet("Appendicular skeleton: upper & lower limb bones"),
  bullet("Joints: types (fibrous, cartilaginous, synovial) and examples"),
  bullet("Important clinical: fractures, joint disorders"),

  heading3("2. Muscular System"),
  bullet("Types of muscle: skeletal, smooth, cardiac"),
  bullet("Major muscles by region: head & neck, thorax, abdomen, upper & lower limb"),
  bullet("Origin, insertion, and action of important muscles"),
  bullet("Nurse relevance: injection sites — deltoid, gluteus, vastus lateralis"),

  heading3("3. Nervous System"),
  bullet("Central Nervous System: brain (cerebrum, cerebellum, brainstem) + spinal cord"),
  bullet("Peripheral Nervous System: 12 cranial nerves + 31 spinal nerves"),
  bullet("Autonomic NS: sympathetic vs parasympathetic (fight/flight vs rest/digest)"),
  bullet("Nerve tracts: sensory (ascending) and motor (descending)"),

  heading3("4. Cardiovascular System"),
  bullet("Heart anatomy: 4 chambers, valves (mitral, tricuspid, aortic, pulmonary)"),
  bullet("Conducting system: SA node → AV node → Bundle of His → Purkinje fibers"),
  bullet("Major arteries and veins: aorta, pulmonary, coronary, systemic circulation"),
  bullet("Fetal circulation — important for obstetrics later"),

  heading3("5. Respiratory System"),
  bullet("Upper respiratory tract: nose, pharynx, larynx"),
  bullet("Lower respiratory tract: trachea, bronchi, lungs, alveoli"),
  bullet("Pleura, diaphragm, intercostal muscles"),
  bullet("Lung volumes and capacities (TLC, TV, RV, FRC)"),

  heading3("6. Digestive System"),
  bullet("GI tract from mouth to anus — all organs and their functions"),
  bullet("Accessory organs: liver, gallbladder, pancreas"),
  bullet("Portal circulation — clinically important"),

  heading3("7. Other Systems (Shorter but Tested)"),
  bullet("Urinary system: kidneys (nephron structure), ureters, bladder, urethra"),
  bullet("Reproductive system: male and female anatomy"),
  bullet("Endocrine glands: pituitary, thyroid, parathyroid, adrenal, pancreas"),
  bullet("Lymphatic system and organs of immunity"),
  bullet("Special senses: eye and ear anatomy"),

  heading2("Study Strategy for Anatomy"),
  tipBox("📌 Strategy #1", "Never study anatomy by reading only. Draw every diagram yourself — the act of drawing fixes it in memory."),
  tipBox("📌 Strategy #2", "Use Chaurasia's Human Anatomy (the standard RGUHS-recommended book). Read one region at a time, not one system at a time."),
  tipBox("📌 Strategy #3", "Make a 'quick reference' notebook with labeled diagrams. Review it every week."),
  tipBox("📌 Strategy #4", "For practicals, know the bones and models by touch — examiners will test you without labels."),

  heading2("Recommended Books"),
  makeTable(
    ["Book", "Author", "Use"],
    [
      ["BD Chaurasia's Human Anatomy (3 vols)", "BD Chaurasia", "Primary textbook — most RGUHS questions come from here"],
      ["Anatomy Coloring Book", "Kapit & Elson", "Active learning — color while you read"],
      ["Gray's Anatomy for Students", "Drake et al.", "For deeper understanding (optional)"],
      ["Vishram Singh Anatomy", "Vishram Singh", "Alternative to Chaurasia — simpler language"],
    ]
  ),
  pageBreak()
];

// ─── SECTION 3: PHYSIOLOGY ───────────────────────────────────────────────────
const section3 = [
  heading1("SECTION 3: PHYSIOLOGY"),
  heading2("Overview"),
  para("Physiology explains HOW the body works — while Anatomy tells you the structure. These two subjects are inseparable. At RGUHS, they are taught and examined together in 1st year."),

  heading2("Key Topics"),
  heading3("1. Blood & Body Fluids"),
  bullet("Composition of blood: plasma (55%) + formed elements (45%)"),
  bullet("RBC, WBC (types and functions), platelets"),
  bullet("Haemoglobin: structure, function, normal values (Male: 13-17 g/dL, Female: 12-15 g/dL)"),
  bullet("Blood groups: ABO system, Rh factor — know compatibility for transfusion"),
  bullet("Coagulation cascade: intrinsic and extrinsic pathways"),
  bullet("Body fluid compartments: ICF, ECF, interstitial — important for IV fluid therapy"),

  heading3("2. Cardiovascular Physiology"),
  bullet("Cardiac cycle: systole, diastole, heart sounds (S1, S2)"),
  bullet("Cardiac output = Heart Rate × Stroke Volume (Normal: 5 L/min)"),
  bullet("Blood pressure regulation: neural and hormonal mechanisms"),
  bullet("ECG waves: P, QRS, T — what each represents"),
  bullet("Frank-Starling law of the heart"),

  heading3("3. Respiratory Physiology"),
  bullet("Mechanics of breathing: inspiration (active) vs expiration (passive)"),
  bullet("Gas exchange: oxygen and CO₂ transport in blood"),
  bullet("Oxygen dissociation curve — right vs left shift"),
  bullet("Regulation of breathing: central and peripheral chemoreceptors"),
  bullet("Normal values: RR 12-20/min, SpO₂ 95-100%, PaO₂ 80-100 mmHg"),

  heading3("4. Renal Physiology"),
  bullet("Nephron: glomerulus, proximal tubule, loop of Henle, distal tubule, collecting duct"),
  bullet("GFR: normal 125 mL/min; important for drug dosing"),
  bullet("Tubular reabsorption and secretion mechanisms"),
  bullet("Juxtaglomerular apparatus: renin-angiotensin-aldosterone system (RAAS)"),
  bullet("Urine formation and concentration"),

  heading3("5. Nervous System Physiology"),
  bullet("Resting membrane potential (-70 mV) and action potential"),
  bullet("Synaptic transmission: neurotransmitters (ACh, norepinephrine, dopamine, serotonin)"),
  bullet("Reflexes: knee jerk (monosynaptic), withdrawal reflex (polysynaptic)"),
  bullet("Pain pathways: fast (A-delta) and slow (C fibers)"),

  heading3("6. Endocrine Physiology"),
  bullet("Pituitary: anterior (GH, TSH, ACTH, FSH, LH, PRL) and posterior (ADH, oxytocin)"),
  bullet("Thyroid: T3, T4 — metabolism regulation"),
  bullet("Adrenal cortex: cortisol, aldosterone; medulla: adrenaline"),
  bullet("Pancreas: insulin (lowers glucose) vs glucagon (raises glucose)"),
  bullet("Feedback mechanisms: negative feedback (most hormones)"),

  heading3("7. Reproductive Physiology"),
  bullet("Menstrual cycle: follicular phase, ovulation, luteal phase (28 days)"),
  bullet("Hormonal changes: estrogen, progesterone, FSH, LH"),
  bullet("Spermatogenesis and oogenesis"),

  heading2("High-Yield Normal Values to Memorize"),
  makeTable(
    ["Parameter", "Normal Value", "Clinical Significance"],
    [
      ["Heart Rate", "60-100 bpm", "Below = bradycardia, above = tachycardia"],
      ["Blood Pressure", "120/80 mmHg", "Above 140/90 = hypertension"],
      ["Respiratory Rate", "12-20 breaths/min", "Tachypnoea if >20"],
      ["Temperature", "37°C (98.6°F)", "Fever >38°C"],
      ["SpO₂", "95-100%", "<90% = hypoxaemia — give O₂"],
      ["Haemoglobin (M)", "13-17 g/dL", "<13 = anaemia in males"],
      ["Haemoglobin (F)", "12-15 g/dL", "<12 = anaemia in females"],
      ["Blood glucose (fasting)", "70-100 mg/dL", ">126 mg/dL = diabetes"],
      ["GFR", "125 mL/min", "Reduced in renal failure"],
      ["Serum Na⁺", "135-145 mEq/L", "Hyper/hyponatraemia"],
      ["Serum K⁺", "3.5-5.0 mEq/L", "Hypokalemia → arrhythmias"],
    ]
  ),

  heading2("Recommended Books"),
  makeTable(
    ["Book", "Author", "Use"],
    [
      ["Textbook of Medical Physiology", "Guyton & Hall", "Gold standard — detailed but heavy"],
      ["Review of Medical Physiology", "Ganong", "Concise, great for RGUHS"],
      ["Physiology (Exam Preparatory Manual)", "Priya Umesh", "India-specific, exam-oriented"],
    ]
  ),
  pageBreak()
];

// ─── SECTION 4: BIOCHEMISTRY ─────────────────────────────────────────────────
const section4 = [
  heading1("SECTION 4: BIOCHEMISTRY"),
  heading2("Overview"),
  para("Biochemistry explains the chemical processes that happen inside the body. It connects chemistry to medicine. Many students find it abstract — the key is to always link biochemistry to clinical applications."),

  heading2("Key Topics"),
  heading3("1. Carbohydrate Metabolism"),
  bullet("Glycolysis: glucose → pyruvate (10 steps — know key enzymes)"),
  bullet("Krebs Cycle (TCA cycle): energy production in mitochondria"),
  bullet("Glycogenesis (storage) and glycogenolysis (breakdown)"),
  bullet("Gluconeogenesis: making glucose from non-carbohydrate sources"),
  bullet("Clinical: diabetes mellitus — insulin deficiency → hyperglycemia"),

  heading3("2. Protein Metabolism"),
  bullet("Amino acids: essential (9) vs non-essential"),
  bullet("Transamination and deamination"),
  bullet("Urea cycle: how ammonia is converted to urea in liver — clinical: liver failure → high ammonia"),
  bullet("Plasma proteins: albumin, globulins, fibrinogen and their functions"),

  heading3("3. Lipid Metabolism"),
  bullet("Beta-oxidation of fatty acids — energy production"),
  bullet("Ketone bodies: acetone, acetoacetate, beta-hydroxybutyrate — clinical: diabetic ketoacidosis"),
  bullet("Cholesterol synthesis (HMG-CoA reductase — target of statins)"),
  bullet("Lipoproteins: VLDL, LDL (bad), HDL (good)"),

  heading3("4. Vitamins"),
  makeTable(
    ["Vitamin", "Type", "Function", "Deficiency Disease"],
    [
      ["A", "Fat-soluble", "Vision, immunity", "Night blindness, xerophthalmia"],
      ["D", "Fat-soluble", "Calcium absorption", "Rickets (child), Osteomalacia (adult)"],
      ["E", "Fat-soluble", "Antioxidant", "Haemolytic anaemia (rare)"],
      ["K", "Fat-soluble", "Blood clotting", "Bleeding tendency"],
      ["B1 (Thiamine)", "Water-soluble", "Carbohydrate metabolism", "Beriberi, Wernicke's"],
      ["B2 (Riboflavin)", "Water-soluble", "Energy metabolism", "Angular stomatitis, glossitis"],
      ["B3 (Niacin)", "Water-soluble", "NAD/NADP coenzyme", "Pellagra (3Ds)"],
      ["B6 (Pyridoxine)", "Water-soluble", "Amino acid metabolism", "Peripheral neuropathy"],
      ["B9 (Folic acid)", "Water-soluble", "DNA synthesis", "Megaloblastic anaemia, NTD"],
      ["B12", "Water-soluble", "Myelin, DNA synthesis", "Pernicious anaemia"],
      ["C", "Water-soluble", "Collagen synthesis", "Scurvy"],
    ]
  ),

  heading3("5. Enzymes"),
  bullet("Properties: specificity, catalytic efficiency, regulation"),
  bullet("Clinically important enzymes: LDH, AST, ALT (liver), CK-MB (heart), amylase/lipase (pancreas)"),
  bullet("Enzyme inhibition: competitive vs non-competitive"),

  heading3("6. Nucleic Acids & Genetics"),
  bullet("DNA structure: double helix, base pairing (A-T, G-C)"),
  bullet("DNA replication, transcription, translation"),
  bullet("Mutations and genetic diseases"),
  bullet("Human genome, chromosomes (46 total — 23 pairs)"),

  heading2("Study Tips for Biochemistry"),
  tipBox("💡 Tip", "Draw every metabolic pathway as a flowchart with arrows. Don't memorize every enzyme — focus on the key regulatory steps.", COLORS.lightGreen, COLORS.green),
  tipBox("💡 Tip", "Always ask 'What happens clinically when this pathway is blocked?' — this connects biochemistry to actual diseases.", COLORS.lightGreen, COLORS.green),
  pageBreak()
];

// ─── SECTION 5: MICROBIOLOGY ─────────────────────────────────────────────────
const section5 = [
  heading1("SECTION 5: MICROBIOLOGY"),
  heading2("Overview"),
  para("Microbiology is the study of microorganisms — bacteria, viruses, fungi, and parasites. As a nurse, you will deal with infection control, wound care, and sterile techniques daily. This subject directly prepares you for clinical practice."),

  heading2("Key Topics"),
  heading3("1. Bacteriology"),
  bullet("Gram staining: Gram-positive (purple) vs Gram-negative (pink) — the most important basic test"),
  bullet("Common Gram-positive: Staphylococcus aureus, Streptococcus, Streptococcus pneumoniae"),
  bullet("Common Gram-negative: E. coli, Klebsiella, Pseudomonas, Neisseria"),
  bullet("Special bacteria: Mycobacterium tuberculosis (acid-fast, ZN stain), Treponema pallidum (syphilis)"),
  bullet("Bacterial growth, culture media, antibiotic sensitivity testing"),

  heading3("2. Virology"),
  bullet("DNA viruses: Herpes viruses, Hepatitis B, Parvovirus"),
  bullet("RNA viruses: HIV, Hepatitis A & C, Influenza, Dengue, COVID-19"),
  bullet("Hepatitis types: A (feco-oral), B (blood/sex), C (blood), D (needs HBV), E (feco-oral, dangerous in pregnancy)"),
  bullet("HIV: CD4 count, antiretroviral therapy, opportunistic infections"),

  heading3("3. Infection Control (Most Nurse-Relevant)"),
  bullet("Chain of infection: agent → reservoir → portal of exit → mode of transmission → portal of entry → host"),
  bullet("Modes of transmission: contact, droplet, airborne"),
  bullet("Standard precautions: hand hygiene, PPE, needle safety"),
  bullet("Hand hygiene: 6 steps of WHO handwashing — KNOW THIS by heart"),
  bullet("Levels of disinfection: sterilization, high-level, intermediate, low-level"),
  bullet("Autoclave: 121°C at 15 psi for 15-20 minutes"),
  bullet("Hospital-acquired infections (HAIs): UTI, VAP, SSI, CLABSI"),

  heading3("4. Immunology"),
  bullet("Innate vs adaptive immunity"),
  bullet("Antibodies: IgG (most common), IgM (first response), IgA (secretions), IgE (allergy), IgD"),
  bullet("Vaccines: live attenuated, killed/inactivated, toxoid, subunit"),
  bullet("National Immunization Schedule — important for community nursing"),

  heading2("Practical Focus for Microbiology"),
  tipBox("🔬 Lab Skills", "Practice Gram staining technique in your lab — this is always tested in practicals. Know the steps: crystal violet → iodine → decolorize → safranin.", COLORS.lightPurple, COLORS.purple),
  pageBreak()
];

// ─── SECTION 6: NURSING FOUNDATIONS ─────────────────────────────────────────
const section6 = [
  heading1("SECTION 6: NURSING FOUNDATIONS"),
  heading2("Overview"),
  para("Nursing Foundations is the most practical subject of your 1st year. It teaches you the basic skills you will use every single day as a nurse. Theory and practical are both heavily weighted. This is where you become a nurse."),

  heading2("Core Concepts"),
  heading3("1. Nursing Process (ADPIE)"),
  makeTable(
    ["Step", "Full Form", "What You Do"],
    [
      ["A", "Assessment", "Collect subjective (patient says) and objective (you observe/measure) data"],
      ["D", "Diagnosis", "Identify nursing diagnoses using NANDA terminology"],
      ["P", "Planning", "Set SMART goals — patient-centered, measurable, time-bound"],
      ["I", "Implementation", "Carry out nursing interventions"],
      ["E", "Evaluation", "Check if goals were met; revise plan if needed"],
    ]
  ),

  heading3("2. Vital Signs — Must Know Cold"),
  makeTable(
    ["Vital Sign", "Normal Adult Value", "Method", "Key Points"],
    [
      ["Temperature", "36.5-37.5°C (oral)", "Oral, axillary, rectal, tympanic", "Rectal = 0.5°C higher; axillary = 0.5°C lower"],
      ["Pulse", "60-100 bpm", "Radial artery (1 minute)", "Count 30 sec × 2; note rate, rhythm, volume"],
      ["Respiration", "12-20/min", "Count chest rise (1 minute)", "Count without telling patient — they alter breathing"],
      ["Blood Pressure", "120/80 mmHg", "Sphygmomanometer + stethoscope", "Korotkoff sounds: Phase 1 = systolic, Phase 5 = diastolic"],
      ["SpO₂", "95-100%", "Pulse oximeter", "Below 90% = hypoxia — act immediately"],
    ]
  ),

  heading3("3. Basic Nursing Procedures"),
  bullet("Bed making: unoccupied, occupied, post-operative (anaesthetic) bed"),
  bullet("Patient hygiene: bed bath, oral care, hair care, nail care"),
  bullet("Positioning: Fowler's (45-60°), Semi-Fowler's (30°), Trendelenburg, Sims', Lithotomy, Prone"),
  bullet("Pressure ulcer prevention: Braden scale, turning schedule every 2 hours"),
  bullet("Safe patient transfer and ambulation"),

  heading3("4. Wound Care & Dressing"),
  bullet("Types of wounds: acute vs chronic, open vs closed"),
  bullet("Wound healing phases: haemostasis → inflammation → proliferation → remodelling"),
  bullet("Principles of aseptic technique for dressing"),
  bullet("Types of dressings: dry, moist, occlusive"),
  bullet("Suture materials and removal technique"),

  heading3("5. Medication Administration"),
  bullet("Routes: oral (PO), sublingual, buccal, topical, inhalation, rectal, parenteral"),
  bullet("Parenteral routes: intradermal (ID), subcutaneous (SC), intramuscular (IM), intravenous (IV)"),
  bullet("IM injection sites: vastus lateralis (safest for children), deltoid, ventrogluteal, dorsogluteal"),
  bullet("The 5 Rights: Right Patient, Right Drug, Right Dose, Right Route, Right Time"),
  bullet("Drug calculation formulas:"),
  tipBox("📐 Formula", "Dose to give = (Desired dose ÷ Available dose) × Volume  |  Drop rate (macrodrip) = (Volume × drop factor) ÷ Time in minutes", COLORS.lightBg, COLORS.primary),

  heading3("6. IV Therapy & Fluid Balance"),
  bullet("IV fluids: normal saline (0.9% NaCl), 5% dextrose, Ringer's lactate"),
  bullet("Fluid balance chart: input (oral + IV) vs output (urine + other losses)"),
  bullet("IV cannulation: selecting vein, inserting cannula, monitoring for complications"),
  bullet("Complications: infiltration, phlebitis, extravasation, air embolism"),

  heading3("7. Infection Prevention in Practice"),
  bullet("WHO 5 Moments of Hand Hygiene — memorize and practice"),
  bullet("Sterile technique for wound care, catheterization, IV insertion"),
  bullet("Personal Protective Equipment (PPE): gown, gloves, mask, goggles"),
  bullet("Sharps disposal: never recap needles; use safety boxes"),

  heading3("8. Documentation"),
  bullet("Nursing care plans — you will write these for every patient in clinical postings"),
  bullet("Types of records: admission notes, progress notes, incident reports, discharge summary"),
  bullet("Kardex, nursing care plans, vital sign charts"),
  bullet("SOAP notes: Subjective, Objective, Assessment, Plan"),
  bullet("Principles: accurate, timely, factual, confidential"),

  heading2("Study Tips for Nursing Foundations"),
  tipBox("🏥 Clinical Tip", "Practice every procedure on a mannequin or willing classmate BEFORE your practical exam. Muscle memory is everything.", COLORS.lightGreen, COLORS.green),
  tipBox("📋 Record Tip", "Start your nursing care plan records early and keep them neat. They are collected and graded. Messy records cost marks.", COLORS.lightOrange, COLORS.orange),
  pageBreak()
];

// ─── SECTION 7: NUTRITION ────────────────────────────────────────────────────
const section7 = [
  heading1("SECTION 7: NUTRITION & DIETETICS"),
  heading2("Overview"),
  para("Nutrition may seem easy compared to Anatomy but it has significant exam weight. More importantly, diet counselling is a key nursing function — you will advise patients on diet throughout your career."),

  heading2("Key Topics"),
  heading3("Macronutrients"),
  makeTable(
    ["Nutrient", "Calories/gram", "Function", "Sources"],
    [
      ["Carbohydrates", "4 kcal/g", "Primary energy source", "Rice, wheat, bread, potatoes"],
      ["Proteins", "4 kcal/g", "Build & repair tissue", "Eggs, meat, lentils (dal), milk"],
      ["Fats", "9 kcal/g", "Energy, fat-soluble vitamins", "Oils, ghee, nuts, fish"],
    ]
  ),

  heading3("Therapeutic Diets (Nursing Application)"),
  makeTable(
    ["Diet Type", "Indication", "Key Features"],
    [
      ["Low sodium", "Hypertension, heart failure, oedema", "Avoid pickle, papad, processed food"],
      ["Diabetic diet", "Diabetes mellitus", "Low GI foods, fixed meal timing, no sugar"],
      ["Renal diet", "Chronic kidney disease", "Low protein, low potassium, low phosphorus"],
      ["High protein", "Post-surgery, burns, malnutrition", "Eggs, milk, dal, lean meat"],
      ["Low fat", "Hyperlipidaemia, gallstones", "Avoid fried foods, ghee, cream"],
      ["Soft diet", "Post-op, dysphagia, elderly", "Mashed food, porridge, curd"],
      ["Clear liquid", "Pre/post-op, acute GI illness", "Water, broth, juices — no solids"],
    ]
  ),
  tipBox("🇮🇳 India Tip", "Use Indian food examples in your exams — dal, roti, rice, idli, dosa. Examiners in Karnataka appreciate India-specific dietary advice.", COLORS.lightBg, COLORS.secondary),
  pageBreak()
];

// ─── SECTION 8: PSYCHOLOGY ───────────────────────────────────────────────────
const section8 = [
  heading1("SECTION 8: PSYCHOLOGY"),
  heading2("Overview"),
  para("Psychology is the most manageable subject of 1st year. It is conceptual rather than memorization-heavy. The content is interesting and directly helps you understand patient behavior and communication."),

  heading2("Key Topics"),
  heading3("Core Concepts"),
  bullet("Definition and branches of psychology"),
  bullet("Growth and development: Piaget's cognitive stages, Erikson's psychosocial stages, Freud's stages"),
  bullet("Motivation theories: Maslow's hierarchy of needs (physiological → safety → love → esteem → self-actualization)"),
  bullet("Perception, attention, memory, learning, and thinking"),
  bullet("Personality theories: Freud's structure of mind (Id, Ego, Superego)"),
  bullet("Stress and coping mechanisms: defense mechanisms (denial, projection, rationalization, sublimation)"),
  bullet("Emotions and their physiological correlates"),
  bullet("Intelligence and intelligence testing (IQ)"),
  bullet("Mental health vs mental illness — basic concepts"),

  heading3("Maslow's Hierarchy of Needs — Nursing Application"),
  tipBox("🔑 Key Concept", "In nursing prioritization, always address the lowest (most basic) unmet need first. Physiological needs (airway, breathing, circulation) always come before psychological needs.", COLORS.lightPurple, COLORS.purple),
  makeTable(
    ["Level", "Need", "Nursing Example"],
    [
      ["1 (Base)", "Physiological", "Oxygen, food, water, warmth, sleep, pain relief"],
      ["2", "Safety & Security", "Fall prevention, safe environment, consistent care"],
      ["3", "Love & Belonging", "Family visits, therapeutic relationship"],
      ["4", "Esteem", "Respecting patient's dignity, involving in decisions"],
      ["5 (Top)", "Self-Actualization", "Patient education, helping patient reach potential"],
    ]
  ),
  pageBreak()
];

// ─── SECTION 9: MONTHLY STUDY PLAN ───────────────────────────────────────────
const section9 = [
  heading1("SECTION 9: SEMESTER STUDY PLAN"),

  heading2("Before College Starts (July-August 2026)"),
  makeTable(
    ["Week", "Focus", "Target"],
    [
      ["Week 1 (July 13-19)", "Orientation", "Read this entire study guide; watch Ninja Nerd intro videos on YouTube"],
      ["Week 2 (July 20-26)", "Anatomy Start", "Start with skeletal system — bones of upper limb + lower limb"],
      ["Week 3 (July 27 - Aug 2)", "Physiology Start", "Blood composition, cardiovascular overview"],
      ["Week 4 (Aug 3-9)", "Anatomy Continue", "Skull bones, vertebral column, joints"],
      ["Week 5 (Aug 10-16)", "Psychology", "Read Maslow, Erikson, Piaget — easy confidence-builder"],
      ["Week 6 (Aug 17-23)", "Biochemistry Preview", "Vitamins chart — memorize all 13 vitamins"],
      ["Week 7 (Aug 24-31)", "College Prep", "Pack, organize, prepare documents, rest well"],
    ]
  ),

  heading2("During 1st Semester (September-December)"),
  makeTable(
    ["Month", "Academic Focus", "Clinical Focus", "Exam Prep"],
    [
      ["September", "Attend all lectures, take thorough notes", "Lab skills: Gram staining, anatomy models", "No exam yet — focus on understanding"],
      ["October", "Anatomy deep dive — cardiovascular + respiratory", "Nursing Foundations: vital signs, bed making", "Start solving PYQs (previous year questions)"],
      ["November", "Physiology + Biochemistry", "Wound dressing, injection techniques", "Internal exam preparation"],
      ["December", "Revision of all subjects", "Review all practical procedures", "Internal exam (usually Dec/Jan)"],
    ]
  ),

  heading2("Exam Preparation Strategy"),
  heading3("For Theory Papers (3-hour RGUHS University Exam)"),
  bullet("Get RGUHS previous year question papers from Telegram groups or your seniors — these repeat every year"),
  bullet("RGUHS questions are mostly: 'Describe the anatomy of...' or 'Explain the physiology of...'"),
  bullet("Write in structured format: definition → classification → description → clinical significance"),
  bullet("Long answers (10 marks): write 2-3 pages minimum"),
  bullet("Short answers (5 marks): half to one page"),
  bullet("Draw diagrams in theory exams — they add marks even if imperfect"),

  heading3("For Practical Exams"),
  bullet("Know every step of every procedure — examiner will stop you and ask 'Why?'"),
  bullet("Viva voce: speak confidently, if you don't know say 'I'm not sure but I think...' — never guess randomly"),
  bullet("Practical records must be complete — examiners check your records before the practical"),
  bullet("Wear clean, proper uniform — first impression matters to examiners"),
  pageBreak()
];

// ─── SECTION 10: RESOURCES & TIPS ────────────────────────────────────────────
const section10 = [
  heading1("SECTION 10: RESOURCES, APPS & TIPS"),

  heading2("YouTube Channels (Free, Excellent)"),
  makeTable(
    ["Channel", "Best For", "Language"],
    [
      ["Ninja Nerd", "Physiology & Pathophysiology — animated, very clear", "English"],
      ["Armando Hasudungan", "Anatomy & Physiology — artistic, visual", "English"],
      ["Osmosis", "All medical subjects — high-yield summaries", "English"],
      ["Lecturio Nursing", "Nursing foundations, pharmacology", "English"],
      ["Dr. Najeeb Lectures", "Detailed biochemistry and physiology", "English"],
      ["Speed Pharmacology", "Drug classes in 5-10 minutes", "English"],
      ["Nursing in India (various)", "RGUHS-specific content in Hindi/Kannada", "Hindi/Kannada"],
    ]
  ),

  heading2("Mobile Apps"),
  makeTable(
    ["App", "Use"],
    [
      ["Human Anatomy Atlas (Visible Body)", "3D interactive anatomy — worth every rupee"],
      ["Osmosis", "High-yield nursing revision"],
      ["Quizlet", "Create and share flashcard decks for any subject"],
      ["Complete Anatomy", "Detailed 3D anatomy tool"],
      ["NCLEX Mastery", "NCLEX-style MCQs — builds clinical reasoning"],
      ["Epocrates", "Drug reference (useful from 3rd year onwards)"],
    ]
  ),

  heading2("Telegram Groups to Join"),
  bullet("Search 'RGUHS Nursing Notes' on Telegram — get PYQs, notes, and study materials shared by seniors"),
  bullet("College-specific WhatsApp groups — your seniors will add you at orientation"),
  bullet("Indian Nursing Officer groups — for competitive exam prep (after 2nd year)"),

  heading2("General Study Tips for Nursing Success"),
  tipBox("⏰ Time Management", "Study in 45-minute focused blocks with 10-minute breaks (Pomodoro technique). Never study for 3+ hours straight without breaks.", COLORS.lightBg, COLORS.primary),
  tipBox("👥 Group Study", "Form a study group of 4-5 students. Teach each other — if you can explain it, you know it.", COLORS.lightGreen, COLORS.green),
  tipBox("📝 Notes", "Write your own notes in your own words. Rewriting textbook content word-for-word is wasted time.", COLORS.lightPurple, COLORS.purple),
  tipBox("🔄 Spaced Repetition", "Review the previous day's notes every morning for 10 minutes before class. This locks information in long-term memory.", COLORS.lightOrange, COLORS.orange),
  tipBox("😴 Sleep", "Sleep 7-8 hours. Memory consolidation happens during sleep. All-nighters before exams hurt more than they help.", COLORS.lightBg, COLORS.secondary),
  tipBox("🏥 Clinical Attitude", "Be genuinely curious during clinical postings. Ask your clinical instructors questions — they appreciate enthusiastic students.", COLORS.lightGreen, COLORS.green),

  heading2("Words of Encouragement"),
  para("Nursing is one of the most respected and impactful professions in the world. The 1st year is the hardest because you are building a foundation from scratch. Every subject you study connects to real patient care.", { color: COLORS.primary }),
  para("Thousands of nurses have sat in the same classroom at RGUHS-affiliated colleges and gone on to work at AIIMS, Apollo, international hospitals, and lead entire nursing departments. You are at the beginning of that journey.", { color: COLORS.primary }),
  para("Stay consistent. Be kind to yourself when things are hard. Ask for help early. And remember — the goal is not just to pass exams, but to become the kind of nurse patients will be grateful for.", { bold: true, color: COLORS.accent }),
];

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cd /home/daytona/workspace/nursing-study-guide && node create_guide.js

ls -lh /home/daytona/workspace/nursing-study-guide/ && python /home/daytona/skil…

python3 -c "import zipfile; z=zipfile.ZipFile('/home/daytona/workspace/nursing-s…