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FAMILY CASE STUDY: EXPLORING THE EVERYDAY LIFE OF THE OQIUAS FAMILY IN
BARANGAY MARCOS, BAYBAY CITY, LEYTE
Presented by:
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Acknowledgement
We, the students of Visayas State University, College of Nursing Group 3 would like to
express our greatest gratitude for the warm welcome in Brgy. Marcos; and to the following
people who contributed and supported in making this case study possible.
First and foremost, our praises and thanks to the God Almighty for His guidance and
for gracing us blessings throughout our days in the community, and the will to accomplish this
case study successfully.
To our parents and family who supported us all throughout, providing all our needs,
ensuring we were all able to perform our roles as a student.
To our clinical instructors, for their guiding us with their vast experience, inspiring us to
work harder in our daily endeavors in order for us to succeed. Meticulously correcting our
errors and shows us the correct way to do a procedure, and for being kind and patient to us
student nurses.
To the Barangay officials and Barangay Health Workers of Brgy. Marcos for their
cooperation, support, and giving us the information, we need to have a thorough
understanding about the streets and puroks in the community of Brgy. Marcos.
To our clients and families, for their cooperation and considerations in allowing us to
perform our duties as student nurses and establish a comprehensive assessment that will
provide us with the significant information needed to construct a firm foundation of our case
study and presentation.
To our group members, for the hard work, team work, efforts, and dedication in making
this case study possible.
The success of this case study would have not been made possible if it weren’t for
these wonderful people who have assisted and prepared us physically, mentally, emotionally,
and financially.
Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities an
This family case study with the title FAMILY CASE STUDY: EXPLORING THE
EVERYDAY LIFE OF THE OQIUAS FAMILY IN BARANGAY MARCOS, BAYBAY CITY,
LEYTE prepared and submitted by Cumagun, A. M. N.; Granada, L. L.; Icalina, M. A. R.;
Lansang, E. L; Marino, J. R. C.; Maturan, E. G. L.; Mosende, A. G. C.; Nablea, M. S. R.;
Palacio, G. A.; Palarao, S; Pedo, J. R. A.; and Ybañez, B. I. B. in fulfillment of the
requirements for the course of COMMUNITY HEALTH NURSING I: INDIVIDUAL AND
FAMILY SITUATIONS has been examined and is recommended for acceptance and approval
for ORAL EXAMINATION.
JOEL REY U. ACOB, RN, MA, DNS KEANE JIM T. AGRAVANTE, RN, DMgt-HC
Clinical Instructor - CHN Clinical Instructor - CHN
Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities an
Table of Contents
Chapters Page #
Title Page.............................................................................................................................. i
Approval Sheet ..................................................................................................................... ii
Authority to Print .................................................................................................................. iii
Acknowledgement................................................................................................................ iv
Table of Contents..................................................................................................................v
I. Situation of the Family ....................................................................................................... 1
II. Family Nursing Assessment ............................................................................................. 1
A. Family structure, characteristics and dynamics .......................................................... 1
B. Socio-economic and cultural characteristics............................................................... 2
C. Home and environment.............................................................................................. 3
D. Health status of each member ................................................................................... 6
E. Values and practices on health promotion ................................................................. 7
III. Family Coping Index ..................................................................................................... 10
IV. Family Nursing Care Plans ............................................................................................ 22
FNCP 1: Poor Personal Hygiene ................................................................................... 22
FNCP 2: Improper Waste Disposal................................................................................ 24
FNCP 3: Presence of Possible Breeding Sites of Vectors ............................................. 27
FNCP 4: Accidental Hazards ......................................................................................... 29
FNCP 5: Inadequate Living Space ................................................................................ 33
V. Recommendation/Suggestions ....................................................................................... 36
References ......................................................................................................................... 38
Appendences ...................................................................................................................... 39
• Resources available in the community (awareness of family) ..................................... 39
• Support from the community (Health center personnel: BHWs, etc.) .......................... 39
• Teaching Plan ............................................................................................................. 39
• Pictures/documentation............................................................................................... 39
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The Family Oquias is a member of Purok Sampaguita, Barangay Marcos that lives
near the shore, next to seven houses from the national road of Baybay to Ormoc. They are an
old formed family with more than a decade in formation. Their main house structure is made
of made of woods, such as plywood and bamboo. The head of the family is the only one
working as a laborer at Barangay Marcos. Their comfort room is located a meter from their
house. They do not have a living room, bedroom, kitchen and a dining area as their house is
small. It is observable that their house has inadequate space for a couple with a typical Filipino
family size. The floor in the surrounding environment is rocky and there are coconut trees
around the house.
Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities an
Table 1
Residential Members of Oquias Family
3. Decision Making within the Family (dominant family member in terms of decision-
making, especially in matters of health care)
The family’s source of income is from the money that the head of the household earns
from being a laborer in which is around ₱6,000 every month. The father is responsible for
decision making in money and other expenses. He is usually the one responsible for dividing
the income for their necessities. The income money is intended and utilized for food, billings
in water and other miscellaneous things for the day to day life needs. According to the wife,
the income is insufficient because they have to pay for food for the whole family, the billing,
and loans. In terms of health care, during instances be it when someone in the family gets
sick, prenatal check-up or immunizations, both the mother and father decide for the health
Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities an
care of each member of the family like going to the health center or rural health unit for
treatment and disease management.
1. Housing
i. Adequacy of living space
The family is located at Barangay Sampaguita, near the shore. The family’s living
space is inadequate for the whole family, it is described to be as a size of a common waiting
shed. The house is only made of lumber, plywood, bamboo and iron sheets as their ceiling.
As you walk towards the house, it has poor ventilation and is slightly dark inside and you can
immediately see everything that is inside of it. Their house has no division for different sections
but they have a kitchen with open drainage, furniture like chairs and a small table, and there
are no appliances inside since there is no electricity in their home. Foul odor within the
environment is evident due to the presence of stray dogs, scattered trashes, and the open
drainage outside their house. Presence of all trees around were also observed.
ii. Sleeping arrangement
Upon assessing, the family sleeps together in their bedroom. They sleep in a small
sleeping mat which is enough for the family to be accommodated. They usually have 6-8 hours
of sleep but they wake up in the middle of the night to urinate in a communal found in their
neighbor’s house which is a safe place for them to urinate even during the night. The family
verbalized that they do not have difficulty in sleeping.
iii. Presence of breeding or resting sites of vectors of diseases (mosquitoes, roaches,
flies, rodents, etc.)
Upon assessment, it was found that there were presence of possible breeding sites of
vectors surrounding the house of the client family. Although it was noted that it may be
seasonal as when it is a rainy season there would be stagnant water in the environment of the
client family, whereas when it is a sunny day, the stagnant water would evaporate. The client
family is at higher risk of these breeding sites of vector whenever it is a rainy season.
Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities an
Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities an
1. Medical and nursing history indicating current or past significant illnesses or beliefs
and practices conducive to health (in-depth discussion of past health history)
The client family has no past significant nor present illness. Although it can be noted that
one of the children was coughing, but it was not diagnosed and neither did the client family
find it as an illness, as verbalized by the client family mother “Na bugnawan ra siguru na siya
sir”. As for the other members the most observable health threat they had were their hygiene.
The client family mother mentioned that they would use herbs found in their surrounding
environment to treat wounds whenever their family member gets injured.
Status of
Live
Duration Mode of Sex/Birth Place of Tetanus
Year Pregnancy Birth/Still
of Labor Delivery Weight Delivery Toxoid
Birth
Immunization
2010 1 N/A NSVD N/A N/A WLPH TT1, TT2
2014 2 N/A NSVD N/A N/A WLPH TT1, TT2
2016 3 N/A NSVD N/A N/A WLPH TT1, TT2
2018 4 N/A NSVD N/A N/A WLPH TT1, TT2
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Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities an
ii. Dietary history specifying quality and quantity of food/nutrient intake per day (type
of food, frequency and usually served in Family)
iii.
The client family’s mother verbalized that they usually consume rice and rootcrops as
their primary food as well as vegetables, fish, egg and meat as viand. They also consume
fruits whenever available. Their breakfast usually consists of rice, fried dried fish and egg.
Sometimes they also consume boiled vegetables also known as "law-uy" in their dialect for
breakfast. 3/4 cup of rice contains 77calories, 0.3g fats, 17.4g of Carbohydrates and 1.2g
Protein. 1 Fried fish contains 50-75 Calories, 0g Carbohydrates,5g of Fats and 7g Proteins.
1egg also contains 50-75 Calories, 0g Carbohydrates, 5g fats and 7g of Protein. 1/2 cup of
cooked vegetables contains 25 Calories, 5g Carbohydrates,0 g fats and 2g Protein. For lunch
the husband usually takes what is available during breakfast in his workplace. On the other
hand, the wife and the children consume rice and vegetables for lunch. Sometimes they eat
banana for dessert. 1banana contains 60 calories and 15g Carbohydrates. Their dinner
usually consists of rice and fish and whenever there is no available rice, they consume
rootcrops. Rootcrops such as sweet potato contains 73 Calories,17g Carbohydrates,0.1g fats
and 1.5g protein.
iv. Eating or feeding habits or practices (irregular meals)
The family usually consume their meal thrice daily. They usually consume rice, root
crops, fish, egg, vegetables and fruits. Rice and root crops are their primary source of
Carbohydrates. Fish and eggs are the sources of protein and vegetables and fruits as sources
for vitamins and other essential nutrients. The family rarely get to consume meat due to
scarcity of money since they have other priorities to spend it to. The children only get to eat
meat during feeding programs and birthday parties wherein they are invited. The couple
wanted to supply the needs of the children especially related to food and nutrition but they just
lack the resources to do so.
understands and reply according to the questions being asked, thinks clearly and acts or
responds according to their age. In accordance to the Psychosexual theory of S. Freud, the
couple belongs in genital stage because they are sexual maturity and learns to establish
satisfactory relationship with her husband. In the terms of Psychosocial theory by E. Erickson
the family is on the stage of generativity vs. stagnation which this time, adults strive to crate
or nurture things that will outlast them; often by parenting children or contributing to positive
changes that benefit other people. The family also is in the phase of formal operational
thoughts as for J. Piaget cognitive development because this was the attitudes and opinions
subside. The family belongs to the postconventional because they are responsible for self-
care because they view this as a standard of adult behaviour based on the Moral Development
Theory of L. Kholberg.
5. Risk factor assessment indicating presence of major and contributing modifiable risk
factors for specific lifestyle diseases (vices and lifestyle)
The head of the family would occasionally drink alcohol as evidenced by the presence of
a few alcoholic bottles tucked inside the house. Modifiable risk factors that were observed
during assessment include improper garbage disposal practices, poor personal hygiene, and
the presence of breeding sites around the house. Moreover, the spouse is currently
unemployed and does not engage in any form of physical activity apart from the usual
household chores. However, she verbalized that she often visited her neighbors to socialize.
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Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities an
3. Hygiene
The mother practiced poor hygiene which was illustrated through her tolerance of the
presence of dusty areas within their home, her uncut nails, unbathed children, dust in the faces
and in the arms of her children, and untidy house which needs arranging and cleaning.
4. Adequacy of:
i. Rest and sleep
The family go to sleep together at the same time from 8pm to 5am, however it is
disturbed because they drank water or have the need to urinate. The client family mother
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Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities an
verbalized that they don’t have trouble in sleeping and do not take sleeping medications
however the client claimed that every time there is an occasion their sleep is inadequate
especially birthdays. In afternoon the wife has taken naps in 1 to 3 hours straight.
ii. Exercise/activities
The client family mother does all the daily activities in their home while the head of the
house goes out to work. The client family mother is the one in charge in keeping their house
clean, and cooking food for the family. As verbalized by the client family mother, their typical
food is rice, fish, varieties of vegetables and fruits which is sufficient for their day to day living
iii. Use of protective measures (e.g. adequate footwear in parasite-infested areas;
The use of bed nets and protective clothing in malaria and filariasis endemic areas.
The family uses mosquito net to protect them from disease carrying mosquitoes, the head of
the family does allow fogging as a protective measure against insects and vectors
iv. Relaxation and other stress management activities
The family’s mode of relaxation is by sleeping and they manage stress by talking things
over. They handle stress by talking first with each other and sometimes with their relatives
which is just in their neighbourhood. Way of coping stress or misunderstanding was talking
with moderation and respect to each other.
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Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities an
Poor personal 2/3 x 1 2/2 x 2 = 3/3 x 1 = 1 2/2 x 1 = 4.67 1st Priority Poor personal hygiene is a health threat, easily modifiable,
hygiene = 0.67 2 1 preventive potential is high, and a problem needing immediate
attention, therefore it is 1st priority.
Improper Waste 2/3 x 1 1/2 x 2 = 2/3 x 1 = 1/2 x 1 = 2.84 3rd Priority Improper waste disposal is a health threat, partially modifiable,
Disposal = 0.67 1 0.67 0.5 its preventive potential is moderate, and it is a problem not
needing immediate attention, therefore it is 3rd priority.
Presence of 2/3 x 1 1/2 x 2 = 2/3 x 1 = 2/2 x 1 = 3.34 2nd Priority Presence of possible breeding sites of vectors is a health threat,
possible breeding = 0.67 1 0.67 1 it is partially modifiable, its preventive potential is moderate, and
sites of vectors it is a problem needing immediate attention, therefore it is 2nd
priority.
Accidental 1/3 x 3 0/2 x 2 = 1/3 x 3 = 1/2 x 1 = 1.16 5th priority Accidental hazards identified are foreseeable crisis, not
Hazards = 0.33 0 0.33 0.5 modifiable, preventive potential is low, and is a problem not
needing immediate attention, therefore it is 5th priority.
Inadequate Living 3/3 x 3 0/2 x 2 = 1/3 x 3 = 0/2 x 1 = 1.33 4th priority Inadequate living space is a health crisis, not modifiable, and its
Space =1 0 0.33 0 preventive potential is low, it is a problem not perceived as a
problem needing change.
Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities and environment.
INTERVENTIONS
FAMILY
HEALTH GOAL OF OBJECTIVE OF METHOD OF
NURSING NURSING RESOURCES EVALUATION
PROBLEM CARE CARE NURSE FAMILY
PRBLEM INTERVENTIONS REQUIRED
CONTACT
Poor Risk for After nursing After 8 hours of 1. Asses the Home visit Human After the nursing
Personal infection related interventions, student nurse, client family’s resources: intervention, the
Hygiene to the family will interaction the family knowledge Health client family
contamination have the will be able to: on proper education Time and effort verbalized
from knowledge to 1. Verbalize the hygiene of the student understanding on
microorganism: reduce importance practices Demonstration nurse and the need to practice
1. Improp possibility of of proper and their of proper family proper hygiene to
er transmission of hygiene willingness hygiene reduce the
hygien microorganism practices of to learn practices such Financial possibility of
e or simply the family 2. Explain the as bathing and resources: transmitting
practic acquiring a 2. Demonstrate importance handwashing microorganism or
es certain disease proper of proper Visual aids for simply acquiring
will be hygiene hygiene Teach – back proper hygiene disease be
minimized or practices practices of technique practice minimized.
prevented for 3. Implement the family
the family the agreed- 3. Demonstrate Show – me Soap for After 8 hours of
upon the proper technique demonstration student nurse-client
measures in hand intervention, the
order to hygiene, Return client family were
improve their dental demonstration able to;
personal hygiene, and
hygiene proper 1. Verbalize
within bathing the
themselves especially for importance
at home the children of proper
hygiene
Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities and environment.
INTERVENTIONS
FAMILY
HEALTH GOAL OF OBJECTIVE OF METHOD OF
NURSING NURSING RESOURCES EVALUATION
PROBLEM CARE CARE NURSE FAMILY
PRBLEM INTERVENTIONS REQUIRED
CONTACT
4. Recognize 4. Emphasize practices in
indicators for the benefits the family
hygiene of proper 2. Demonstrat
measures hygiene e proper
practices for hygiene
the family practices
5. Educate the 3. Implement
family measures
regarding in order to
proper improve
sanitation their
and personal personal
hygiene hygiene
during 4. Recognize
toileting indicators
for hygiene
measure
Goal met.
9/28/19
Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities and environment.
Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities and environment.
Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities and environment.
INTERVENTIONS
FAMILY METHOD
GOAL OF OBJECTIVE
HEALTH PROBLEM NURSING NURSING OF NURSE RESOURCES EVALUATION
CARE OF CARE
PRBLEM INTERVENTIONS FAMILY REQUIRED
CONTACT
Accidental hazards Risk for injury The family After 8 hours 1. Assess the Home visit Time and effort After nursing interventions,
falling related to will be able of student- family’s of the student the client family was able to
coconuts presence of to know how client knowledge of Observation nurse and the learn how to respond in case
rocky floor accidental to respond in interaction the accidental of accidental cooperation of of accidents from the hazards
hazards such as case of an family will be hazards hazards the family identified
falling coconuts accident on able to: present near around the
and rocky floor the hazards 1. Verbalize the house of house Visual aids on Understand the principle of
identified the the family how to act asepsis
importance 2. Teach the Health when there is
Understand of reducing importance of education on minimal injury After 8 hours of student nurse
the principle risks for reducing risks what to do in and the interventions:
of asepsis injury for injury case there is principle of The client family was able to
2. Identify risks 3. Observe the injury asepsis verbalize the importance of
for injury in area of the reducing risks for injury,
the area house to identify risks for injury in the
3. Identify identify area and identify measures to
measures to accidental defend against risks for injury.
defend hazards
against risks 4. Provide Goal met. 9/28/19
for injury measures to
defend
against risks
for injury
identified
Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities and environment.
INTERVENTIONS
FAMILY METHOD OF
HEALTH GOAL OF
NURSING OBJECTIVE OF CARE NURSING NURSE RESOURCES EVALUATION
PROBLEM CARE
PRBLEM INTERVENTIONS FAMILY REQUIRED
CONTACT
Inadequate Risk for After the After 8 hours of the 1. Teach the family Home visit Time and effort After nursing
living space spreading nursing student nurse- client the preventive of student nurse interventions, the client’s
communicable intervention the interaction, the family measures against Health and the family were able to learn
diseases related family will take will be able to communicable Education on cooperation of preventive measures to
to crowding of the preventive diseases how to prevent family reduce the spread of
family members measures to 1. Understand the 2. Educate family or minimize the communicable diseases
during bed time reduce the importance of on the common spreading of Visual aids on within the family
spread of reducing the spread communicable microorganism how to prevent
communicable of communicable disease and their spreading of After 8 hours of student
diseases within diseases symptoms Show – me microorganisms nurse interventions:
the family 2. Identify common 3. Educate family technique
communicable on the Facemask for The client family was
diseases importance of Teach – back demonstration of able to understand the
3. Take preventive reducing the method reverse isolation importance of reducing
measures against spread of in case of the spread of
communicable communicable coughing communicable diseases
diseases spreading disease
Identify common
communicable diseases
Take preventive
measures against
communicable diseases
spreading
Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities and environment.
V. Recommendation/Suggestions
Recommendations
Based on the findings, the student nurses concluded that the factors that lead to the
development of the problems were age, environment and her sedentary lifestyle.
We would like to recommend the following:
Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities an
To Student Nurse
To become aware of the difficulties that they may encounter in making the said case,
such as limited interaction time with the patient and the patient’s compliance to nursing
activities and gathering of data, so as to make the necessary preparations before the
actual interaction between student nurse and client is made.
To be equipped with the proper and sufficient knowledge necessary for the well-being
of the family and community. The student nurse should know the principles of asepsis
and ways to reduce contamination, as well as the proper garbage disposal methods,
the 5S, and any principle essential to the community.
To gain an understanding of the client family’s situation and refrain from judgement,
so as to provide them with the necessary care and interventions needed for the well-
being and development of the family.
To be able to communicate well with the client. The student nurse must be competent
in communicating with the client and must refrain from using any medical jargon so as
to establish a good initial relationship with the client family.
To Clinical Instructor
For the clinical instructors to be able to assist the student-nurses in rendering the
appropriate interventions in meeting the needs of the client
For the clinical instructors to be able to teach the student-nurses in the correct way to
perform Leopold’s Maneuver so that they could check the fetal position and fetal heart
rate of the pregnant women in the community.
The should train student-nurses on how to obtain anthropometric measurements and
compute for the Body Mass Index in order to prevent obesity or malnutrition in the
community and for them to give health education about proper nutrition.
They should train the student-nurses in providing holistic care to the people in the
community.
Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities an
They should encourage and continue conducting their scheduled vaccination for the
children and prenatal check-ups for the pregnant women in the community.
They should continue monitoring the general health of the people in their community
and provide appropriate interventions.
Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities an
References
Books:
Famorca, Z. U., Nies, M. A., McEwen, M. (2013). Nursing Care of the Community.
Singapore: Elesevier Inc.
Doenges, M. E., Moorhouse, M. F., Murr, A. C. (2016). Nurse's pocket guide: diagnoses,
prioritized interventions, and rationales.
Philadelphia: F.A. Davis Company
Maglaya, A. S. (2004). Nursing practice in the community. 4th ed. Manila, Philippines:
Argoranta Corporation.
Pillitteri, A. (2013). Maternal and Child Health Nursing : Care of the Childbearing and
Childrearing Family (7th ed.). Philadelphia, United States: Lippincott Williams and Wilkins.
Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities an
Appendices
Teaching Plan
- Lecture
- Actual Demonstration and simulation
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Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities an