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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 younger son aged 4 years have a strange problem. He never sweats and feels hot. During summer he has to sit in Cooler. What's this problem.
My baby is going to be 3 month old soon. And I have to go back to work. Can I start solid or weaning food for her as I don't want to give her formula milk. I can manage to breastfeed her only once or twice.
What food is required to be given to six months old baby in addition to mothers milk and in what quantity?
Hi. I have a 17 days infant, my milk is not sufficient to give him. I am giving lactogen also in between my milk in day and night. Is it OK to give like that to my baby?
You may not look forward to a dental examination, but you can't avoid it. A dental checkup every six months is crucial to your dental health and to maintain that beautiful smile. Skipping a dental checkup may save you time and a little discomfort now, but can cost you much more pain, time and money in the long run.
Here are 6 reasons to maintain a regular dental check up schedule:
- Fight cavities: A clean up is a big part of a dental examination. No matter how well you brush and floss, there will always be spots that you miss out on. With time, plaque and tartar can build up in these spots leading to cavities if not addressed in time. The worst part about cavities is that you can feel them only once the tooth has been damaged. Thus, if you skip your dental examination, you may need a filling instead of a simple cleaning.
- Prevent gum disease: Plaque and tartar affect not only your teeth, but your gums as well leading to diseases like gingivitis and periodontitis. These are marked by shrinking of the gums that makes teeth sockets loose and eventually lead to tooth loss. Gum disease treatment can be very painful and expensive hence it is best to get plaque and tartar cleaned regularly before they begin to cause a problem.
- A brighter smile: Your daily cup of coffee or tea can stain your teeth with time. Wine and cigarettes also contribute towards making your teeth look dull. A professional dental cleaning can help remove these stains and give you a brighter smile.
- Find hidden problems: X rays are also an important part of a dental examination. An X-ray can detect problems that lie under the surface like misaligned teeth, bone decay, tumors and cysts. These problems rarely show any symptoms in their early stages and hence without an X-ray you would have to wait for it to advance to a more painful stage before seeking treatment.
- Boost overall health: Regular dental checkups can also lower your risk for heart disease and stroke. In addition to checking your mouth, a dentist will also check neck, jaw and lymph nodes during a regular check up for swelling and other abnormalities. This can help in the early detection and treatment of a number of diseases.
- Detect oral cancer: Oral cancer is easily treatable if diagnosed in its early stages. However, the only way to diagnose this correctly is by visiting the dentist. A test for oral cancer is pain free and takes hardly any time.
So, think about it. Visiting the dentist may make you a little uncomfortable but in the long run is well worth. In case you have a concern or query you can always consult an expert & get answers to your questions!
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.