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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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If you have noticed your child to be restless and anxious all the time, it might look cute as the child is highly energetic, but it could be a cause for concern at the same time. It is not normal and the child could be having ADHD that is attention deficit hyperactivity disorder. As the name suggests, it is a disorder with deficiency of attention and in which the child is always hyperactive.
ADHD is a disorder in which the symptoms usually show up before the age of seven. It is characterized by a group of behavioral symptoms that include inattentiveness, hyperactivity and impulsiveness. The impact of these symptoms is felt extensively where his overall self-esteem is affected, be it at home, preschool or school, academics or extracurricular activities and in interpersonal relationships.
The most common symptoms, which are almost diagnostic of ADHD are:
- Inability to hold attention: The child's attention span is very short and it is very difficult to keep them engaged on one particular thing.
- Increased restlessness: The child would be extremely restless and gets distracted easily.
- Fidgeting: The child would be seen constantly fidgeting with his fingers.
The following are the less common ones:
- Learning disability is rare, but can happen. However, the good news is that it does not affect the child's intelligence.
- Sleep disorders
- Difficulty in following directions
- Poor executive functioning skills
- Disorganization, which can lead to poor motor coordination and impaired movements
- ADHD kids tend to forget things very easily and need help with coordinating movements
- The child suffering from ADHD could easily tire and/or feel lethargic with very low energy levels. This can lead to the child procrastinating things and not wanting to do things on priority basis
- These children also have difficulties with fine motor and cognitive skills and so there is delay in their overall participation in games.
While these are the pressing symptoms of ADHD, occupational therapy can play a significant role in managing the child in the following ways. As a first step, the caregiver should have a detailed discussion with the school staff and any other people with whom the child interacts significantly.
This will help identify areas that need support from an Occupational Therapy, which are the following:
- Support with gross and/or fine motor skills
- Support with improving handwriting
- Support with engaging in playing sports and games
- Support in engaging in social activities
- Improving sensory processing difficulties
- Improving visual perception
- Support in adapting to the environment
- Teaching strategies to participate in various social and academic activities
So, while an ADHD child is definitely a cause for concern, proper support from family can help manage the condition.
I have less milk so my doctor gave lactic tablets for 1 month improving milk but there is no big result I have less milk only I feed my baby for 1 hour still she feels l hungry n cry n she refuses to take formula milk so what is the remedy for this problem is there any injection and I used to take milk with bun, bread n bread toast also. I used to all types of foods which are improving milk like mutton khema, snake guard, bottle guard, methi, spinach, garlic. Etc but still no use so pls suggest me.
She is 4 months baby girl some time she cry excess and she get out of control I press her ears stomach no pain is their all time she vomit when I feed her and I give similac milk powder that powder is also not suit she so what is the reason why she cry alot thank you mostly in night.
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder medications? If so, what are they and what medications are implicated for the attention deficit hyperactivity disorder?
My baby is 34 month old. For d last 20 days she has been suffering frm high fever 103-104 frequently, like 3-4 times a day. Consulted doctors. Examined n conducted blood n urine tests. Reports were normal. Dey suggested paracetamol n mefenamic acid n finally wid antibiotic also. But no change in her health condition. Wat to do.
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 son is 3.5 years old, he got stomach pain first. By taking motion test, the result is hookworm. Then after taking scan, he got mesenteric adenitis. He is taking macox zh kid and senasef. How long will it take to cure? What is the cause for this disease? Is hookworm serious? kindly tell what not to do?
I have a 4 year old son who has been suffering from pneumonia since last year he has also been treated at the hospital and the doctor gave him antibiotics after discharge. I always take him for regular check up and the doctor said that his condition has improved and that there's nothing I should worry about but he always gets recurrent cough and cold and sometimes fever. I'm worried I don't know what else should I do? most of the time he's always on medication. And the doctor said that repeated x ray more than twice a year is not recommended. What else should I do to find out the reason of his condition. Please advise.
My child is 1 year and 3 months old but he can not walk only stands and only walk with my support doctor suggest its lack of vitamin D which fulfilled by vitamin d injection kindly advise me for this problem.
Hi. My son is 17 months old a very healthy boy. But I am concerned about him when every night at around 12: 30-1: 00am. He starts crying so loudly for at least 25 minutes. Please advice.
Dear Sir, Greetings for the day. My Son's age is 1year 5months. My son is facing very difficulty to go for motion and cry a lot that time, he is not drinking any liquid apart from milk. Kindly suggests me.
Hi My 4 and half year old baby girl. Sometimes I feel that my kid can hear properly. Sometimes I call her lots of time but no response. What is the reason please suggest.
My son is 8 years old and his weight is nearly 20 kgs. Please suggest health diet for him as breakfast while going for school.
Can we give baby of 5 months anything else than mother feeding? Or we should continue mothers milk till 6 months can you suggest me at what month I should start giving my child juice or any other liquid cereal? Please sugest?
I had suffered from anul fissure in the month of December. But I got it treated. Now today I again got that same pain. And breastfeeding my 4 month old. What medication should I take. Which will not affect my breastfeeding and my baby.
Is it fine to feed a 14 month baby with butter, ghee in the food? should the sweet intake be restricted too, though my baby enjoys sweet preparations.
The role of parents in language development of children is a primary one. Basically, it will be a one way communication as babies will not respond, but that should not deter you from speaking to them. It has been shown that talking to children early on helps them to talk faster and learn more words. The number of words a child hears is directly proportional to the amount of vocabulary he/she will be able to master.
6 ways to help your baby learn speaking:
- Let them listen a lot: Children learn speaking by listening first. So more and more words they will listen, so do they will speak. Make sure your child comes in contact with children in the peer group and plays with them as with the help of their friends they can learn many words.
- Read a book: You should start reading to your child as early as possible. The type of book is not as important as you may use, various touch and feel books such as graphic novels. Initially, you may start with board books and then move on to picture books and finally to story books. It helps in increasing the child's vocabulary.
- Talk as much as you can: Part of a child's ears and brain that respond to sound are developed since birth, so even though talking to your baby may not make much sense, talking to them enhances their development of speech. The infant absorbs the words which facilitates speaking.
- Look for cues: If the child is interested in something such as a book or a toy, then engage with the child on that subject. Encourage him/her to ask questions and interact as much as possible. These interactions help in enhancing the child's language skills.
- Limit television: Using television to teach vocabulary to your child is not as effective as talking directly. The primary reason is that characters in television do not react to your child's cues. This does not allow the child interact, which results in reduced language learning.
- Treat ear infections early: It is important to treat ear infections early as this causes hearing problems which in turn delays language learning. Consulting a pediatrician to get treatment for ear infections of your child is advisable. You should see to it that the child is being administered medications at regular intervals.