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Adolescent Problems Treatment
Limping Child Treatment
Management of New Born Care
Treatment of Newborn Jaundice
Treatment of Thyroid Disease in Children
Thyroid Disorder Treatment
Thyroid Problems Treatment
Adolescent Disorders Treatment
Treatment of Child and Adolescent Problems
Treatment of Childhood Diabetes
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Management of Postnatal Care
Child Growth Management
Treatment of Childhood Infections
Management of Childhood Nutrition
Congenital Ear Problem Treatment
Quad Screening Treatment
Hi , my daughter has 2years 6months old, she is not properly sleeping in night, from last one month. After sleeping 1to 2 hrs she wake up and starts crying, and cry for hour then sleep then again some time starts crying.
Hi doc, my baby is 6 months old n weight is 6kg please suggest something about her diet. Wht food to give n wht to avoid. Is her weight is normal. She is completely on my breastfeed. please suggest to gain weight also. Thank you.
Dear All, you are requested to suggest me that my baby boy is one years old and he is 8.5 kg only. How can grow his weight and health please advice me it my kind request. My child is not drinking milk any drop. Regards
My son is 2.5 yrs old but he doesn't talk. He used to say some words I. E maa. Pa. Pa. Etc till 1.5 yrs. But after suffered from serious illness he left talking. And now he tells sometimes maa pa. Pa. Pa etc but not talk as normal as others. I went through his BERA test and found report normal. We consulted many doctors but no one diagnosed the reason and says that he will tell but it will take time. Being his father I am very anxious for his career. Please suggest me sir.
1.3 new goals – cure, prevent resistance and break chain of transmission.
2. Introduction of daily regime.
3. Definition and treatment of mono and polyresistance apart from mdr and xdr tuberculosis.
4. Treatment in cat 1 – 2 (hrze) + 4 (hre): continue ethambutol in continuation phase too.
5. Treatment in cat 2 – 2 (hrzes) + 1 (hrze) + 5 (hre).
6. Introduction of bedaquiline as a new drug. Atp synthase inhibitor specifically targets myc. Tb. Indicated in age more than 18 years. Contraindicatef in pregnancy and those taking hormonal ocp. It may be given in patients with stable arrythmia.
7. Definition of presumptive tuberculosis. Duration > 2 weeks etc.
8. New algorithm to diagnose tuberculosis – pulmonary, extrapulmonary, drug resistant.
9. Introduction of newer molecular methods like cbnaat and line probe assay in diagnostic algorithm apart from smear microscopy and chest xray.
10. Diagnosis of tuberculosis based on x-ray will be called as clinically diagnosed tuberculosis.
11. Sputum should be around 2ml and preferably be mucopurulent.
12. Follow up – new and previously treated drug sensitive pulmonary tuberculosis – no need to extend intensive phase, sputum microscopy at end of ip and end of treatment, weight monthly, chest x-ray if required.
13. Follow up – mdr tuberculosis – sputum smear monthly 3, 4, 5, 6, 7 months in intensive phase and at 3 months interval in continuation phase 9, 12, 15, extend ip phase by maximum 3 months total of 9 months.
Some more additions to it, adding here which might help to pg students.
1) monitoring health status of tb treated patients (for recurrence of tb) for 24 months after treatment
2) online monitoring of treatment adherence through 99dots programme (currently it is on pilot basis running for tb-hiv patients)
3) intensified tb case finding in clinically, socially and geographically vulnerable population. It's a provider initiated activity.
4) now'tb suspect' term is replaced by'presumptive tb case.
5) in diagnostic algorithm sputum examination along with chest x-ray is recommended.
6)'nsp' term is replaced by'microbiologically confirmed case'
7) nsn and others r called now onwards'clinically diagnosed tb' case. (terms replaced)
8) definitions of cured, defaulted, treatment completed, failure, failure to respond, loss to follow up are somwhat changed.
9) cat i, cat ii, cat iv terminologies r obsolete n replaced by drug sensitive (new or previously treated) and drug resistant tb categories.