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A. Androgen insensitivity - Palestine Medical Council
A. Androgen insensitivity - Palestine Medical Council

... Division after formation of the embryonic disk results in conjoined twins. The incidence of monozygotic twinning varies with race. A dichorionic twin pregnancy always denotes dizygosity. Twinning causes no appreciable increase in maternal morbidity and mortality over ...
How to control high triglycerides
How to control high triglycerides

... risk of stroke, heart attack and heart disease. Normal levels are 150 or less. Extremely elevated triglycerides (above 500) can damage the pancreas and cause pancreatitis. High triglycerides can be caused by obesity, diabetes, kidney disease, genetic factors, hypothyroidism, alcohol use and certain ...
Pediatric Nutritional Assessment
Pediatric Nutritional Assessment

... different answers. However, despite different methods, when you consider their 10 different estimates, they will all be within pretty close range. So pick 1 or 2 that work for you and just be consistent with it. It is after all only an estimate, and then upon reassessment of intake and weight gain t ...
Cardioversion in late pregnancy : a case report
Cardioversion in late pregnancy : a case report

... ­fetus. Treatment options depend upon the type of arrhythmias, maternal hemodynamic status, and possible side effects on the fetus (4, 5). ECV in pregnancy is considered safe and effective treatment modality when the pharmacological intervention fails to control the symptoms or the symptoms are life ...
Routine Antenatal Assessment in the Absence of Pregnancy
Routine Antenatal Assessment in the Absence of Pregnancy

... All women should have a directed clinical assessment at each antenatal visit, with a focus on general well-being and early diagnosis of pregnancy complications. Investigations recommended are: Obstetric ultrasound scan All women should be offered an obstetric ultrasound before 20 weeks' gestation. T ...
Pregnancy at Risk: Pregestational Onset
Pregnancy at Risk: Pregestational Onset

... • Asymptomatic women - pregnancy has no effect • Symptomatic with low CD4 count pregnancy accelerates the disease • Zidovudine (ZDV) therapy diminishes risk of transmission to fetus • Transmitted through breast milk • Half of all neonatal infections occurs during labor and birth ...
Alpha Fetoprotein Maternal Serum (MsAFP)
Alpha Fetoprotein Maternal Serum (MsAFP)

... AFP is thought to leak directly into the amniotic fluid causing unexpectedly high concentrations of AFP. Subsequently, the AFP reaches the maternal circulation; thus producing elevated serum levels. Other fetal abnormalities such as omphalocele, gastroschisis, congenital renal disease, esophageal at ...
increase
increase

... – Assess all bleeding. Save all pads. (May need to weigh the pads) – Use the bedpan to assess all products expelled – Treated by evacuation of the uterus usually be a D & C or suction ...
Hyper / Hypo Disorders
Hyper / Hypo Disorders

... “I’ve never had any real female problems before, except for the little cramping I get on the first day of my period. She admits sheepishly to having gonorrhea five years ago. ...
Endo—Diabetes Mellitus Type II
Endo—Diabetes Mellitus Type II

... 1) Restoration of intravascular volume and low doses of insulin on an individualized basis 2) Replacement of intravascular volume – goal is to gradually restore metabolic state (1L/hour with hypotonic fluids until urine output is normalized). Monitoring is essential. Normal saline is the fluid of ch ...
Intrapartum Care - UNC School of Medicine
Intrapartum Care - UNC School of Medicine

... Indications for Operative Vaginal Delivery • Prolonged second stage of labor • Non-reassuring fetal status • Maternal cardiac or neurologic disease » Valsalva maneuver is contraindicated or cant be performed well in some conditions ...
Science vs Pseudoscience in Weight Management
Science vs Pseudoscience in Weight Management

... following statement about the use of HCG for weight loss: “HCG has not been demonstrated to be effective adjunctive therapy in the treatment of obesity. There is no substantial evidence that it increases weight loss beyond that resulting from caloric restriction, that it causes a more attractive or ...
Undernutrition and Weight Loss in the Elderly
Undernutrition and Weight Loss in the Elderly

... Anorexia of aging- Physiological reduction in food intake with advanced age Food intake is lower in healthy older persons, especially of fat rather than carbohydrates È BMR due to loss of muscle Immobility Greater satiation after a standard meal than younger people Reduced fundic nitric oxide leads ...
DAA-Page-from-ACI-95..
DAA-Page-from-ACI-95..

... increased work, as fat tissue around the rib cage and abdomen resists movement. While we can reason that weight loss will help improve the mobility of the patient and the ease of staff handling, if too much muscle is lost the reverse is true. It is reasonable to assume that all aged-care residents ...
Effect of Obesity on Kidney Transplantation
Effect of Obesity on Kidney Transplantation

... At the time of transplant, obesity is associated with lower patient and transplant survival and a higher risk of coronary artery disease. However, despite the reluctance of transplant centers to perform transplant on obese patients, the percent-age of transplant recipients with BMI 30 kg/m2 increase ...
Practical Approach to Paediatric nutritional support
Practical Approach to Paediatric nutritional support

... Essential Fatty Acid Deficiency Can occur within “days to weeks” although clinical • S/S may not been detected for months Prevented by providing 0.5g/kg/day of lipid (2-4% of • total kcal) Symptoms of EFAD: • Alopecia, scaly dermatitis, increased capillary fragility, poor – wound healing, increased ...
Pediatric Nutrition
Pediatric Nutrition

...  BMI-Body Mass Index ...
Understanding Childhood Obesity - ct
Understanding Childhood Obesity - ct

... Enhance well child visit anticipatory guidance with stronger focus on nutrition, physical activity and importance of health weight Understand how clinicians and nutritionists can work together to combat obesity. Discuss ways the primary care provider can use the WIC referral form to communicate with ...
increase
increase

... • No Fetal heart tone or Quickening • Abnormally elevated level of HCG Question 6 ...
Informed Consent for A Low Calorie Diet
Informed Consent for A Low Calorie Diet

... at the onset. As body weight and age increase, so do the chances of developing gallstones. These chances double for women, women using estrogen, and smokers. Losing weight—especially rapidly—may increase the chances of developing stones or sludge and/or increasing the size of existing stones within ...
Hyper / Hypo Disorders
Hyper / Hypo Disorders

... • No Fetal heart tone or Quickening • Abnormally elevated level of HCG Question 6 ...
From Medscape Medical News CME
From Medscape Medical News CME

... true to some degree, but there also appears to be a weight-independent effect that some of these medications have more than others." For instance, Dr. Correll said, olanzapine appeared to adversely affect both glucose and lipid metabolism, whereas quetiapine and risperidone had a much more benign a ...
Pregnancy Fact Sheet - Crohn`s and Colitis Foundation of America
Pregnancy Fact Sheet - Crohn`s and Colitis Foundation of America

... Previous bowel resections do not appear to have any negative effects on pregnancy in women with Crohn’s disease. Women have also had successful pregnancies after ileoanal anastomosis for ulcerative colitis—a procedure in which the colon and rectum are removed and the ileum (the last segment of the s ...
Safety and Surgical Care of Patients with BMI Over 35
Safety and Surgical Care of Patients with BMI Over 35

... Caring for the Extremely Obese Patient Most procedures require extra personnel and special equipment.  Everything, including the operation, is more difficult to perform.  There are several comorbidities which are very prevalent in the extremely obese patient, and these comorbidities need to ...
- Optifast
- Optifast

... With almost 4 million adult Australians currently obese, the recent decision by the Australian Health Minister to make obesity a National Health Priority Area (NHPA) will now hopefully ensure that obesity receives the attention it deserves, as a matter of urgency.1 Research demonstrates that achievi ...
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Prenatal nutrition



Nutrition and weight management before and during pregnancy has a profound effect on the development of infants. This is a rather critical time for healthy fetal development as infants rely heavily on maternal stores and nutrient for optimal growth and health outcome later in life. Prenatal nutrition addresses nutrient recommendations before and during pregnancy. Prenatal nutrition has a strong influence on birth weight and further development of the infant.A common saying that 'a woman is eating for two while pregnant' implies that a mother should consume twice as much during pregnancy. However, in reality this is not true. Although maternal consumption will directly affect both herself and the growing fetus, over eating excessively will compromise the baby's health as the infant will have to work extra hard to become healthy in the future. Compared with the infant, the mother possesses the least biological risk. Therefore, excessive calories, rather than going to the infant, often get stored as fat in the mother. On the other hand, insufficient consumption will result in lower birth weight.Maintaining a healthy weight during gestation lowers adverse risks on infants such as birth defects, as well as chronic conditions in adulthood such as obesity, diabetes, and cardiovascular disease (CVD). Ideally, the rate of weight gain should be monitored during pregnancy to support the most ideal infant development.
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