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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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Hi sir/ mam My child age-13 year, he is interest to ladies works and spend to more time to girls and play with girls games, this type of case can I do the any harmon test. Could you please suggest me.
Why small kids between 5 to 13 use to bleed unnecessary from nose when play or ran. What is the cause and what is the diagnose for the same?
My baby is 5 months old. He is not getting proper milk through breastfeeding. What should I give him?
Dry allergic cough persistent for over 4-5 weeks. Sputum tested negative for TB, but culture contains Kleibsilla SP. Medicine contains, Inhaler and medicine for allergy. Although better but not completely recovered. What to do?
Hi doctor my daughter 10 months old thumb sucking continuously I can't control her. Give me suggestions to control it.
My 11 months she is having cough from last 2 days and running nise as well giving Kufril LS drops 3 times a day .How many days it will take to recover any precaution need to be taken?
Hi, my kid is of 1.7 yrs old but he didn't started uttering words more than ma' ma n ba' ba' da' da, he delivered by lscs n a month before od edd, till now growth and development is good, he weighs 12kg, walks and moves at a pace, last month he'd seizures during fever but recovery was good, what could be the reason and what steps to be taken to get him talk, our 1st kid was good at sharing at his age.
Asthma is a very common condition that is quite often 'miss' diagnosed. Asthma presents as breathlessness, it is also called as wheezing, due to the typical sound that is often present. The lungs help us breathe in the air , there is a phase where the air goes in called inspiration and when the air comes out its called expiration. Asthma typically occurs when the air pipes or tubes through which the air goes in and comes out gets narrowed. When this happens , there is increased resistance to the air flow and this resistance causes the wheeze or sounds that are associated with the condition.
Some people are more prone to Asthma than others , those with a general tendency of allergies tend to be more at risk for developing asthma. Since the narrowing of the air pipes reduces the air flow, there also is a change in the gas exchange which happens in the lungs, when the gas exchange is suboptimal the body feels the need for more air and this is characterized as breathlessness. Sometimes a person might also have a cough along with the wheezing and this can be misdiagnosed as a respiratory infection when there is none, unless there is a clear-cut evidence of infection that too of bacterial origin Antibiotics won't be useful. ( because a large number of viral infections can also be there).
Many people when they have a cough and breathlessness walk into a drug store and buy an antibiotic or cough syrup and self-medicate. This can be very harmful, developing antibiotic resistance means the next time there is an infection the less likely the antibiotics are likely to work and secondly some medicines can themselves increase the risk of asthma or wheeze.
The treatment of Asthma is very simple, there are very good inhalers that help the tightness or narrowing of the air pipes to be relieved in a matter of seconds, so if you think you have asthma consult someone who can diagnose it correctly and help you live more productively.
Sir, my son aged 2.5 years. His penis foreskin doesn't go back. He doesn't face problem in peeing but people says it's not right, his skin should be move up and down. I am very sad and in problem too. Kindly suggest me what to do with him.
Dear Doctor, This mail is regarding my child who is 10 years old and issues related to him are: 1.He had Dengue last year 2015 and was hospitalized for two weeks, and had 18 bottles IV fluid administered, he recovered but, his immunity has gone down. 2.He has started eating rather, hogs on food, has put up weight, he is 43 kgs now. 3. He has become lazy and has no interest in studies, was a very good student he used to be in 1- 3 ranking in the class. 4. His memory has gone down, because of his laziness. 5. Very important. He has got adenoids. Some extra growth inside nose which has to be operated, very soon we are deciding on that. Please, advice on this issue. Thanks.
My baby is 7 months old. He fell off from bed 5 days ago and from then he is not shouting that much he does before. What is the reason for that and what to do for that?
Chronic hyperglycemia is captured by A1c but not by FPG (even when repeated twice).
Microangiopathic complications (retinopathy) are associated with A1c as strongly as with FPG.
A1c is better related to cardiovascular disease than FPG.
Fasting is not needed for A1c assessment.
No acute perturbations (e.G, stress, diet, exercise, smoking) affect A1c.
A1c has a greater preanalytical stability than blood glucose.
A1c has an analytical variability not inferior to blood glucose.
Standardization of A1c assay is not inferior to blood glucose assay.
Biological variability of A1C is lower than FPG and 2-h OGTT PG.
Individual susceptibility to protein glycation might be caught by A1c.
A1c can be used concomitantly for diagnosing and initiating diabetes monitoring
Natural history of T2DM in Asia
Diabetes is a global epidemic which is out of control, but worse in Asian countries.
It is a huge and growing problem and costs to the society are high and escalating.
Five countries from Asia figure in the top 10 and account for most cases of diabetes globally.
Asian countries share similar risk factors.
There is an association between economic growth and diabetes.
Rapid urbanization and modernization obesogenic environment i.E. Physical inactivity, psychosocial stress and abundance of food
Asians are prone to developing diabetes at a lower level of obesity.
Diabetes has the potential to negatively impact economy and may bankrupt healthcare systems.
Cost effective interventions in healthy living and diet decrease the burden of diabetes and save on healthcare costs and lost productivity.
There has been a dramatic rise in the number of diabetic population in Korea: economic growth, greater exposure to risk factors (lifestyle and diet), demographic changes (childhood obesity, aging population).
Hypertriglyceridemia: The most difficult lipid disorder to evaluate and treat
Hypertriglyceridemia is the most difficult lipid disorder to evaluate and treat. Hypertriglyceridemic disorder in adults is not a single gene. We do not know if TGs by themselves are an atherogenic risk or is it because of the company they keep.
The intra-individual biological variability (diurnal and monthly) of lipids make it more difficult to define hypertriglyceridemia.
TGs are inversely associated with HDL-C, if high HDL-C levels, almost always TGs are low.
Dietary treatment of severe hypertriglyceridemia: <5%, no alcohol, discontinue all TG-lowering drugs, monitor TG q 3 days until levels are below 1000, then restart treatment.
Fibrates do not reduce the CHD events in high risk patient groups. What impact hypertriglyceridemia has on CHD outcomes is not yet clear.
Lower fasting TG to less than 500 mg/dL; this will reduce the risk of pancreatitis.
Follow the current guideline recommendations to lower LDL-C.
The real value of Apo-B is in patients who do not have raised LDL-C (<100 mg/dL). In such patients it can be very informative and should be taken as an indicator of CVD risk.
Plasma apoB and the other cholesterol indexes are complementary rather than competitive indexes of atherosclerotic risk (Am J Cardiol. 2003 May 15;91(10):1173).
Baseline TGs are determinants of the response to bezafibrate (BIP trial).
Omega-3 fatty acids are beneficial in reducing CV risk (JELIS; Lancet 2007), especially in patients with high TG and low HDL-C (Atherosclerosis. 2008).
If fasting TG is >200 mg/dL and HDL-C <35 mg/dL, consider a fibrate or omega-3 fatty acid.