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Meri daughter 4 saal ki hai. Uske chehre per 15-20 masse ho gye hai jo abhi shuruat (safed) hai. Unhe rokne or khatam karne ka loi ilaaj bataeye. Dhanyawad.
Dental anxiety or the fear of dentistry has been a buzz word for many to ignore and avoid trips to the dental chair unless there's a very strong pain related stimulus to do so.
While going to the dentist has never been perceived as a pleasant predicament to be in, the levels or degree to which they feel this unpleasantness, can vary widely from person to person.
There are those of us who just feel like procrastinating the appointment and then there are those of us who cannot sleep the previous night and pass out or throw up when we actually make it to the appointment.
Scientific basis underlying this is the degree of fear that you associate with the experience, so no matter whether you are just anxious or downright phobic here are a few things that'll help you keep your emotions and fear in check.
All talk no work -discussion based appointment.
If you're anxious or phobic it helps to ensure that you have all your concerns addressed before you jump on to the chair. (and so to speak the unknown)
Help your dentist identify the things that maybe difficult for you. People are usually scared of particular things like for some of maybe the sound of the drill, for others the water in their mouth so ensure you identify and communicate what's most unacceptable to you so that the dentist can be cautious and customize your treatment.
Timing is key
Fix your appointment before pain hits.
Communicate the degree of fear while making the appointment or request a tele consult to discuss your particular concerns.
Try and schedule a time when you can ensure the doctor is expecting you and won't keep you waiting so your anxiety doesn't grow.
Do your research
When choosing a practice ensure you know what their philosophy is in general and how do they manage dental pain, anxiety and phobias.
It would be advisable to ensure you are going to a practice trained and geared to manage your specific issues.
Besides being a great dental clinic with the right team and technology -the doctor needs to empathise with the reality of dental fear and should be trained to treat you in a different way then regular patients who can
Check in advance if the practice is painfree.
If you do end up doing the procedure,
Break your fear into bite sized chunks
Then ensure you choose to start with a smaller treatment and a shorter session like a cleaning or something that you don't attach fear to.
Once you have a rapport with the doctor you tend to build trust and get comfortable you can start coming in more regularly.
Do not do an internet search on your problem or talk to friends or relatives
The worst thing an anxious patient can do is tap the wrong resource for information. Please ensure that you are not self diagnosing and finding things that match your symptoms online. Things appear way more gory than they actually are on the internet! another mistake that people make often is discussing their dental problem with friends and family who further scare you with their bad experiences and your fear is compounded to a point where you now think all their cumulative dental mishaps are sure to happen to you.
Our advice is follow the above steps find the right doctor and then just sit back relax and enjoy your smile!
I delivered my baby on Thursday 7th April, my nipples got sore feeding the baby. Can you please suggest any remedy.
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.
Hello Dr. Mere son ko 3 years old weight 16.3 kg ko viral infection hua h n test me dengue primary stage h platelets 2.35 lac h hemoglobin 10 h TLC count 5000 h .what to do please help. Not admitted doing rest at home. Local Dr. suggested give water n prescribed jiovit multivitamin. P-250, Alex junior, mecbery, pecef 100, folvite.
My daughters age is ten yrs. She is suddenly becomes silent without any reason for few seconds and again becomes normal. This is happening since six months. Why is it happening.
My baby is 1 and half months old .i m going for vaccination for her .it will be difficult for baby to bear the pain so please suggest me some remedy and medicine so that she will feel and can sleep well.
Sir 13 months boy has Non Functional Right kidney (MCD) found in DTPA Test, size rt kidney is 3.8*1.6 cm whereas Left Kidney is normal in size.
Breastfeeding mothers need to be conscious and aware of their diets. How the mother eats is how the child gets its nutrition. While they do not need any major changes from what they were eating during the pregnancy, a few adjustments are advised. A few basic adjustments in daily routine are enough. They are:
1. Eat very well - Eat a balanced diet to suit your health. Remember, first it is important to meet your nutritional needs. Only when you are eating well would the quality and quantity of your milk be ideal for your baby. Do not diet under any circumstance. We understand you wish to lose all the pregnancy weight soon, but remember, you child is your priority now. When you diet, your body will start drawing on its reserves. This will affect milk production. By dieting, you will also lack the amount of stamina you need to take care of your baby. Be aware that feeling extra hungry during breastfeeding is normal. Your body is working around the clock. Eat small meals at regular intervals to keep your hunger satisfied, your weight concern at bay and your body strong.
2. Don't count your calories - Not until you are breastfeeding. You need at least 500 calories more than you did when you were not breastfeeding. Don't let this shock you, your child will be feeding off you. There are other ways to regulate your weight and lose the extra pounds gained during pregnancy, do not compromise on food at all.
3. Do not rush to exercise - Consult your doctor and ask for suitable exercises for your body. You might have stitches which are yet to dry, so don't be hasty. Get your workout regime planned professionally and under guidance.
4. Do not avoid fats - Eat healthy foods and opt for good fats. Foods that are good for you and for milk production are a big yes. Foods which do not contribute in any positive way can be done without. They will only harm you in the long run.
5. Avoid alcohol - Stay away, and if you do want to indulge consult your doctor. An occasional drink is usually okay, still it is better you abstain altogether until you stop breastfeeding. And if you do have a drink, feed at least after two hours.
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