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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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My 2.5 yrs old boy is suffering from stomach ache and having gas all the time. He is not eating anything and vomiting if given medicines. He is also having mild fever and loose motions.
Hi! My daughter is 12 year old she is suffering from cold from last one week. I gave her febrex plus but she is still complaining of blocked nose. Pls suggest some good medicine. She does not have other health problems nor she is having fever now.
My daughter age 1years 1 month still not start standing properly by her own. What is the best remedies so she could be strong.
I am 30 years old. Delivered baby boy in May 16, in mid June 16 was operated for breast abscess. I stopped feeding baby for 15 days post which when I tried to resume breastfeeding many times but he refused to take. Also I was given few doses if cabgolin for speedy recovery. Currently baby is on FM, wish to resume BF.
I am a 23 years old man and I believe I am suffering from adhd for the last 6 years it has had negative impact on my studies and my social life I am able to concentrate on my studies my mind keeps on wondering to random thoughts, I procrastinate work too much, I cant sit still and breathe easy, there is a feeling of something brewing in the area just below my stomach and above the rectum, I over think a lot mostly about negative thoughts what should the course of treatment for me?
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.
On the occasion of World Asthma Day (3rd May, 2016), I would like to break a few myths related around Asthma which otherwise people generally believe to be true.
Myth #1 - Asthma is a communicable disease
Fact #1 - Asthma is an allergic disease and is neither contagious (infectious) or communicable (passed on from one person to another)
Myth #2 - Inhalers are addictive
Fact #2 - Absolutely wrong! Inhalers are not addictive but it is a good habit to keep control over asthma and use your inhalers as prescribed by your doctor. Also, contrary to popular belief that using inhalers on a regular basis reduces their effectiveness, inhalers continue to be equally effective on a regular basis.
Myth #3 - Inhalers are expensive
Fact #3 - Again, absolutely incorrect! Inhalers are in fact cheaper when compared to other drugs.
Myth #4 - Inhalers are given to patients who face Chronic Asthma
Fact #4 - Wrong! Inhalers should be used from a very early stage itself to prevent progression of the disease.
I hope this tip helped bust atleast a few notions that most people have about Asthma and that you are now better informed about this condition. In case you would like to ask me anything or discuss your or your loved one's case in detail, feel free to 'Consult' privately with me.