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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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Meri beti 3 year ki he. Wo 6 months ki thi tab use meningitis hua tha. An vo normal he. Per uska weight bd nahi raha. Pichle bd 9 kg tha. Is bd pe 10 he. Please tell me ye koi badi problems he kya?
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.
My baby is 1.8 years old. He is suffering from cough from last 5 days. And after 5 days fever is 101. I am giving him grilinctus syrup and crocin syrup. But cough is not control. My baby is whole night coughing and many times vomiting. So please advice me some cough syrup and other medicine name.
My daughter aged 10 year is suffering from slow stomach pain since last one month. Her pain starts at morning and remain for 5 to 10 mins and similarly after taking lunch and dinner for 5 to 10 min. I have done ultrasound test and it was normal. But last three days she could not able to sleep and her stomach pain going continue. Please advise me what to do?
I've some questions in my mind regarding my wife and my daughter's health. My only daughter,aged 12 Yrs+ right now and she is suffering from Allergetic Childhood Bronchial Asthama since at the age of 04 Yrs. Frequently she suffers in cold and cough. Everytime when our doctor's advised for some radiological and pathological investigations, it's doesn't reveals any abnormality in the report. What should i do next to free herself from this problem? Kindly help me Sir. I am a Radiographer Technician by profession and working in a reputed Diagnostic Centre in Kolkata since for the last 15 Yrs.
Hello. I have a daughter who is 6 years old and living in brisbane auatralua. Australian born. Living with new mom. I am divorced. I do not know why she does not speak with me? what is wrong with her mind?
My baby has 3 month old nd he has cold from last 10 days. At sleep time it's difficult to breath for him we use nasivion medicine but it doesn't effective please suggest me best medicine for baby.
My baby is 6 month. Is cerelac is good for her. Hav to start cerelac. please suggest which brand or which flavour should introduce first.
In homeopathy and especially in working with homeopathic single remedies, selection based on an individual's specific symptoms is critical to success. Colds frustrate selection in that symptoms constantly change as the condition matures. One important element to examine is the cough. The character of your cough can make a definable difference in homeopathic remedy comparisons. Does it force you up at night? Is it dry or wet, rattling or wheezing, or constantly changing? Does the mucus stay down, gag you or come up easily? Does heat, cold, motion or lying down aggravate it?
The number of remedies indicated for coughs is seemingly endless. However, some stand out as suitable for common coughs and as good examples for what to look for in defining your cough.
Here are seven. Each one addresses a unique type of cough and set of symptoms that may accompany that cough..
Pulsatilla: Wearying night cough that forces the cougher to sit up and hold the ribcage. The cough tends to be dry, shaky and frustrating in the evening and at night– forcing you to sit up over and over again. In the morning, it starts out dry and very fitful with retching, but as the congestion matures the thick mucus loosens toward morning. The coughing spells worsen the dry sore throat and cause soreness in the chest. Related cold symptoms include sticky eye irritation, nose is stuffy at night and runny in the morning, minor fevers are chilling, mucus is bland thick and greenish and like everything Pulsatilla, symptoms are very changeable. Specific people are most apt to need Pulsatilla. They tend to be ‘soft, gentle, mild, affectionate, as well as clingy, weepy, moody, sometimes childish’ with a deep need for security and ever changing moods and symptoms.
Nux vomica: A suffocating cough highlights a restless cold or flu with extreme chilliness.
The cough is dry, tight and hacking. It oppresses breathing and causes a bruised soreness and often a bursting headache. Cough and other symptoms typically induce Nux's trademark irritability and sensitivity to light, noise, etc. Symptoms feel worse in the morning (possibly starting at 3a.m.) and in cold dry atmosphere. A finished nap and damp weather tend to lessen symptoms a bit. Extreme chilliness makes drafts unbearable. The cold may also have hot irritating mucus that blocks the nose at night and a rough sore throat that sends pain toward the ears on trying to swallow the lump in your throat. On the emotional side, typical adjectives for Nux individuals or states include: competitive, impatient, impulsive, ambitious, aggressive, fastidious, restless. Stress from excess is an important keynote, whether brought on by too much work, food, fun or spirits.
Kali bich: Stubborn, gagging cough. Thick, ropy, yellow to green, sticky, stringy, stubborn, smelly mucus is at the heart of what this remedy can treat. The cough is stubborn, gagging, hacking misery as you try to clear the thick mucus out of your throat. Mucus crusts up in the nose and fills the sinuses causing choking post nasal drip, hoarseness and pain especially at the root of the nose. The cough often starts very dry but over time becomes more productive especially after a walk in fresh air. When mucus accumulates overnight, morning becomes a torment of blocked nasal passages with stubborn hacking, hawking, gagging and coughing. Heat, but not hot weather, can help, but beer and morning are highly aggravating.
Phosphorus: A hard, dry, tight, racking cough set off by a tickle in the aching raw throat. The colds Phosphorus treats best move quickly into the chest. The cough may set the body trembling and cause labored breathing and tightness across the chest. Cold air, talking and physical exertion trigger bouts of coughing. A key trait to its fever is great thirst for cold drinks that are vomited soon after warming in the stomach. Hoarseness usually results from these colds, but it also helps hoarseness from overuse, especially in singers. Phosphorus can do the most for excitable, impressionable often lively individuals who burn the candle at both ends until the energy runs out; then sadness, anger and even indifference can dominate.
Bryonia: A dry, hacking, painful cough with stitching pains– worse for movement. Bryonia relieves ailments that approach slowly, linger too long, are worse for movement and may result from being chilled when overheated or from fast weather changes. Its slow moving flu and colds are marked by dryness and body-aching misery. Dry hacking cough causes pain in the sternum and forces you to sit up especially at night. Hawking will eventually move the mucus. Eating and drinking aggravate cough as will going into a warm room. Other symptoms include a bone-aching, chill-ridden fever, great thirst for cold water, dry throat and a “don’t touch me, leave me alone” irritability.
Hepar Sulph: A dry or rattling cough with chilliness. Chilliness and yellow phlegm also dominate this cold and there may be sinus pressure with splinter-like sore throats. Cold dry wind, walking, even exposure of any body part from under the covers can provoke this changing cough that runs from a barking dry hoarse cough to loose, rattling/choking coughing. The individuals needing Hepar sulph most lack internal heat, are easily offended, and get are sensitive to rudeness or causes. They may become quite sad and highly irritable, especially at night. Though not highly active, they may speak, eat and act out quickly and impulsively. In general, if highly sensitive to cold, pain, and touch, you might want to examine Hepar sulph, especially if cold air feels threatening.
Natrum mur: A dry tickling cough. Dryness underlies many of Nat mur’s applications. Its colds and congestions have a dry rawness with thickening clear to whitish mucus. Coughing is dry with rattling in the chest set off by a tickling the the throat. It can be particularly bad in the morning and very fitful at night in bed. Cough often triggers a frontal headache that feels as if the forehead would burst. On the emotional plane, the dryness becomes idiomatic as Nat mur applies to poorly circulated stress– suppressed grief, humiliation and heartbreaks. Sadness, irritability, anger, occasional sleeplessness and haunting memories tend to dominate. Complaints tend to improve with open air, deep breathing and tight clothing, and worsen with consolation, more emotion, hormonal fluctuations and sunlight (especially headaches). A deep crack in the lower lip and a desire for salty foods further indicate a need for Nat mur.
We hope this helps you get to know your coughs better.
My concern is with 2.6 years old daughter who is having constipation problem. We have visited to several doctors and most of them recommended for Piclin. The problem is whenever we give piclin at night after dinner, there is no issue with her stool however, if we do not give the syrup, she will not. I need your suggestion on this. Is it good to give Piclin?
The most advanced and effective communication device in this century is mobile phone. Mobile phone is not only being used by the corporate or highly qualified professional. People from all type of social group have mobile phone in their hands now. Usage of the mobile phone is not increased only with all social groups but also with people of all age groups. Children are the more noticeable group as they are using cell phones of all types. A recent research study shows that children are really capable of using any advanced type of mobile phones even without any proper guidance. Though mobile phones are the effective mode of communication, it is a well known fact that it also has adverse side effects if being over used. The mobile phones emit shockwave radioactive radiations that affect the body in various manners.
Adverse effects of mobile phone usage:
Today's children are growing up in a radio-frequency environment that never existed in human history before. The radiation emitted by mobile phones and mobile phone masts can have adverse effects on children. Some include:
- Affects your Immunity Status: cell phones after a full day usage contains many germs on their display which are highly numbered than your toilet seats. These germs are easily transferred to your body as you touch frequently or use close to your face for talking. This increases the risk of exposure to the germs and reduces your immune strength as immune status are not fully developed for children.
- Increase Risk of Chronic Pains: prolonged use of mobile phones for playing games or texting requires continuous movement for your hands which may develop chronic pain in joints of your shoulders and hands.
- Vision Problem: children when concentrate much on playing games in mobile phone they even fail to blink frequently with the increased interest and attraction towards the game. This causes the dryness of the conjunctiva and also increases the ocular tension.
- Affects your emotions negatively and increases the stress level
Mobile Phone Safety For Kids:
As a parent, you must take preventive measures to minimize your child's exposure to the harmful effects of mobile phones. These include:
- Do not give cell phone if your child is under 16 years. A child's brain is too sensitive to withstand the effects of mobile radiation.
- Do not let your child hold a mobile phone directly up to his head. Use an air-tube headset instead.
- Do not let your child make calls in buses, trains, cars, and elevators. The mobile phone works harder to get the signal out through the metal, which increases the power level.
- Do not let your child use cell phone when the signal is weak. It will increase the power to the maximum, as the phone attempts to connect to a new relay antenna.
- Limit the use of cell phone around children.
- Make sure that there is no mobile phone mast or network tower near your home or your kid's school.
- Do not let children take mobile phones to school.
- Do not leave mobile phones in your children's bedroom at night.