A 65 year old male patient presented in the OPD of a district hospital with extreme low back ache and generalised swelling of body. The patient had to use a stick for support, the patient looked pale, complained of extreme fatigue and loss of weight. Patient also gave history of long standing Diabetes mellitus and hypertension. The young doctor on duty made a differential diagnosis of chronic kidney disease of old age. He attributed the anaemia to malnutrition. He asked for routine investigations: complete blood count, Kidney and liver function tests

As a result of decrease in birth rate, along with further decrease in death rate due to more improvement in health and sanitation, the population growth starts to decline as compared to the second stage. As an example, Mexico arrived at this stage at the beginning of the 21st century. The One-Child Policy of China helped the country to move towards the and next to these stages more rapidly. Examples of this stage are Mexico, China, Kenya, UAE. Please answer the following- 1) In which stage of demographic transition they are in? 2) Mention the reasons for decrease in birth rate.

Explain any two of the excerpts of poems given below with reference to their context: (i) Ye Presences of Nature, in the sky And on the earth ! Ye Visions of the hills ! And Souls of lonely places ! can I think A vulgar hope was yours when ye employedSuch ministry.. (ii) Tyger ! Tyger ! burning bright In the forests of the night,What immortal hand or eye, Dare frame thy fearful symmetry?(iii) My first thought was, he lied in every word, That hoary cripple, with malicious eye Askance to watch the workings of his lie(iv) Dying Is an art, like everything else. I do it exceptionally well

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