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Dr. D.S. Merchant's Articles in Health

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  • Increased Intracrnial Pressure
    NURSING INTERVENTION:
    • Explain attitude about confusion (in self, caregivers, significant others) Provide education to family, significant others and caregiver regarding the situation and method of coping.
    • Maintain standard of empathic, respectful care.
    • Encourage significant others and care givers to speak slowly either low pitch and at an average volume.
    • Provide respect and promote sharing
    • Pay attention to what person is saying.
    • Pick out meaningful comments and continue talking.
    • Call person by name and introduce your self each time.
    • Use name the person is prefers, avoid “pops” or “moms”
    • Convey to person that you are concerned (through smile and unhurried pace).
    • Use memory aid if appropriate.
  • Aortic Regurgitation
    The typical diastolic murmur of AR has a decrescendo shape. A high frequency early diastolic murmur often occurs in mild AR, whereas a rough holodiastolic or decrescendo diastolic murmur occurs more commonly in severe AR. The volume and velocity of blood across the incompetent aortic valve tapers off in mild to last diastole as the aortic and LV pressures equilibrate. The diastolic murmur of AR is usually best heard adjacent to the sternum in the second to fourth left intercostals space. A concomitant systolic ejection murmur is common in moderate to severe.
  • Snoring & Sleep Opnea help?
    The treatments for sleep apnea include weight loss, avoidence of sleep depressants (alcohol, sleeping pills, etc), CPAP ( a mask used at night to keep the airway open), dental repositioning devices, and surgery.
  • Thyroid Problems Cause Hair Loss
    For both ‘men and women’ hair is simply your ‘crowning glory’. People all over the world place a huge deal of ‘social and cultural’ importance on ‘hair and hairstyles’. Most of you never miss your hair, until you start loosing it. That is usually when you enter a ‘mad race’ to find solutions and remedies to regain your ‘crowning glory’. Unfortunately, many conditions such as heavy amounts of stress, diseases, improper hair care and hormonal imbalance result in excessive loss of hair.
  • Chronic Obstructive Pulmonary Disease - COPD
    GOLD Staging Criteria:
    GOLD Staging Criteria
    Stage O: Normal spirometry; chronic sx
    Stage 1 (Mild):
    FEV1> 80%
    Stage 2 (Moderate):
    2A: FEV1 50-80% predicted
    2B: FEV1 30-50% predicted
    Stage 3 (severe):
    FEV1/FVC < 70% AND:
    FEV1 < 30% predicted and clinical evidence of R heart failure
  • Bronchiectasis
    The bronchiectatic cavities may be lined by granulation tissue, squamous epithelium or normal ciliated epithelium. There may also be inflammatory changes in the deeper layers of the bronchial wall and hypertrophy of the bronchial arteries. Chronic inflammatory and fibrotic changes are usually found in the surrounding lung tissue.
  • What is Chondroitin sulfate?
    Durring times of stress (such as injury) or disease (i.e. certain forms of arthritis) the deconstructive enzymes in the joints may attack healthy cartilage or compete against new cartilage synthesis.
  • Infection Control From A Nursing Perspective
    The practice of medical asepsis helps to contain infectious organisms and to maintain an environment free from contamination. The techniques used to maintain medical asepsis include hand washing, gowning and wearing facial masks when appropriate, as well as separating clean from contaminated or potentially contaminated materials and providing information to patients about basic hygienic practices. Appropriate hand washing by the nurse and the patient remains the most important factor in preventing the spread of microorganisms.
  • Chronic Snoring Cures
    Sleep apnea is diagnosed by a sleep study. During a sleep study, the patient's breathing patterns, heart rhythim and brain waves are monitored.
  • Clinical Medicine Cases
    Case 1:
    • 50 year old man presented with generalized weakness, dizziness, lethargy for 10 days. He was also having loose stools for the past 15 days. On examination was pale and thin lean emaciated man. His blood pressure was 70/40 mm of mercury, with pulse of 130 beats / minute. He had bilateral decrease air entry on chest, epigastric tenderness and pedal edema on examination. Neurological exam was non focal. He had some history of undocumented weight loss, but no history of fever. His past history was significant for episodes of loose stools, which would resolve on taking antibiotics


    • Hemoglobin: 8 mg/dl Abumin: 1.5
    • MCV: 68 Total Bilirubin: 8.1
    • WBC: 14 cmm Direct Bilurubin: 5.5
    • Platelet: 176 GGT: 304
    • SGPT:71
    • RBS: 106 AP: 359
    • BUN: 15
    • Cr.:1 mg/dl ESR: 53
    • Na: 126 meq Stool DR: Normal
    • K: 4.6 meq Calcium: 7.3
    • Cl: 111 Phos:1.6
    • HCO: 18
  • Sleep Disorder
    Risks and ComplicationsYou have the right to be informed that the surgery may involve risks of unsuccessful results, complications, or injury from both known and unforeseen causes. Because individuals vary in their tissue circulation and healing processes, as well as anesthetic reactions, ultimately there can be no guarantee made as to the results or potential complications. The following complications have been reported in the medical literature.
  • Spectrum Of Abdominal Tuberculosis (ATB)
    Epidemiology:
    Tuberculosis is one of the deadliest diseases.

    WHO estimates that each year more than 8 million new cases of tuberculosis occur and approximately 3 million persons die from the disease.
  • Spectrum Of Abdominal Tuberculosis (ATB)
    Epidemiology:
    Tuberculosis is one of the deadliest diseases.

    WHO estimates that each year more than 8 million new cases of tuberculosis occur and approximately 3 million persons die from the disease.
  • The Best Answer For All Acne Problems
    The typical lesions of acne are: small whitish or skin-colored bumps (whiteheads) or blackish elevations (blackheads). More inflamed rashes take the form of pus-filled or reddish bumps, even boil-like tender swellings. After resolution of the lesions, prominent unsightly acne scars may remain. Acnezine lightens up these scar marks and makes you feel fresh and comfortable.
  • Dexamethasone in Adults with Bacterial Meningitis
    Methods:
    • a prospective, randomized, double-blind, multicenter trial of adjuvant treatment with dexamethasone, as compared with placebo, in adults with acute bacterial meningitis.
    • Dexamethasone (10 mg) or placebo was administered 15 to 20 minutes before or with the first dose of antibiotic and was given every 6 hours for four days.
    • The primary outcome measure was the score on the Glasgow Outcome Scale at eight weeks (a score of 5, indicating a favorable outcome, vs. a score of 1 to 4, indicating an unfavorable outcome).
    • The mortality rate among adults with acute bacterial meningitis and the frequency of neurologic sequelae among those who survive are high, especially among patients with pneumococcal meningitis.
  • Quit Smoking Tip
    Instead of using nicotine, like most other products on the market, Nicocure patches employ an effective homeopathic formula to remove your desire to smoke. Natural herbs and extracts like Lobelia Inflata work quickly as expectorants for the lungs and they alter the taste of tobacco products, too.
  • Stop Smoking Aids
    On the other hand, Nicocure patches work 97 percent of the time. The reason behind this incredible success rate is that they take an entirely different approach to the situation. Most products give you small doses of nicotine throughout the day in hopes that your addiction will subside. Our patches were designed by people who realized that in order to quit, you have to remove nicotine from your system entirely.
  • Young Immunosupressed Male S/P Renal Transplant
    She had high grade fever for the last 4-6 months, intermittent no associated chills/rigors, she had dysurea initially but at present there was no such complaints, no cough, rashes, joint pains, unusual hair loss but she had mod. To severe Rt. Upper abdomen and epigastric pain for the last 1 month which was constant was non radiating associated with 4-5 episodes of vomitings per day which contains around ¼ cup of fresh blood witheach episode and positive H/O malena. Few days prior to admission she was transfused with 5 PRBC in gilgit
  • Online Diet Pills
    the most effective, natural carb-blocking ingredient on the market, derived from white kidney beans. Phase 2 works to limit the digestive enzyme alpha amylase, and can help prevent carbs from being broken down into glucose. If carbs aren't broken down, they can travel smoothly through the body, never being converted into fat.
  • Drug Resistance In Tuberculosis
    Inadequate Prescribing Practice:
    • In 1995 25% of new cases of TB were initially treated with 2-3 drugs regimen
    • 2 Surveys by AKUH among GP & Interns
    • Once resistance develops, prescribing errors, usually by inexperienced physicians can exacerbate situation.
    • Review of patients referred to National Jewish Hospital (Denver) for management of complex MDR-TB documented an average of 3.93 prescribing errors per patient.
  • Stop Smoking Patch
    Nicocure patches give smokers the chance for freedom from addiction. Even if you have tried every other product on the market and failed to quit, Nicocure's proprietary herbal blend can help you succeed. Within one month's time, you can resume your life as a non-smoker, and you can stay that way for good!
  • Aga Khan Health Services (AKHS)
    The Aga Khan Health Services (AKHS) is one of the most comprehensive non-profit health care systems in the developing world. Building on the Ismaili community's health care efforts during the first half of the century, AKHS now provides primary health care and curative medical care in India, Pakistan, Kenya, Tanzania and Syria. It includes five general hospitals, the Aga Khan University Hospital in Pakistan, six maternity homes and more than 230 health centers. Organized in national service companies in Kenya, Tanzania, India and Pakistan, these health facilities are also linked in internationally through network-wide strategies in human resource development, hospital management, nursing development and primary health care.
  • Panhypopituitarism
    • Hypopituitarism can present with complete or partial deficiency of anterior and/or posterior pituitary hormones.

    • Panhypopituitarism refers to the situation in which more than 80% of the anterior pituitary is lost.

    Aetiology
    • neoplasms in the suprasellar region:
    – pituitary adenoma in adults
    – craniopharyngioma in children
    – glioma
    – meningioma
    – metastatic cancer
  • Quit Smoking Tip
    Instead of using nicotine, like most other products on the market, Nicocure patches employ an effective homeopathic formula to remove your desire to smoke. Natural herbs and extracts like Lobelia Inflata work quickly as expectorants for the lungs and they alter the taste of tobacco products, too.
  • Smoking Cessation Program
    Nicocure, we offer an innovative, all-natural solution that will help you quit for good. Our natural Nicocure patches are the safest and most effective products on the market, enjoying a 97 percent success rate! Compare that to the 20 percent success rate of most smoking cessation programs,

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