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

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  • Tuberculosis (TB) Part 6
    Diagnosis may be based on the presence of lymphadenopathy on chest radiographs. Most children can be treated with INH and reampin for 6 months, with pyrazinamide for the first 2 months if the culture from the source case is fully susceptible. Gastric aspirates or biopsies are not necessary if cultures can be obtained from the source case.
  • 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.
  • Aortic Regurgitation Causes
    In contrast to chronic AR, symptoms of acute AR (commonly from infective endocarditis, aortic dissection, or trauma) develop rapidly and are very poorly tolerated. In acute AR, the normal sized ventricle is unable to adapt to the sudden increase in regurgitant volume, In additional to the normal left atrial inflow. Thus, patients develop pulmonary congestion associated with LV failure and, possibly cardiogenic shocks.
  • IUGR- Intrauterine Growth Retardation
    A fetus whose estimated weight is below the 10th percentile for its
    gestational age and whose abdominal circumference is below the 2.5th percentile.
    At term, the cutoff birth weight for IUGR is 2,500 g (5 lb, 8 oz).
  • Hypertensive Disorders in Pregnancy
    Preeclampsia superimposed upon chronic hypertension — Superimposed preeclampsia is diagnosed when a woman with preexisting hypertension develops new onset proteinuria after 20 weeks of gestation. Women with both preexisting hypertension and proteinuria are considered preeclamptic if there is an exacerbation of blood pressure to the severe range (systolic 160 mmHg or diastolic 110 mmHg) in the last half of pregnancy, especially if accompanied by symptoms or increased liver enzymes or thrombocytopenia.
  • Hypertensive Disorders in Pregnancy
    Preeclampsia superimposed upon chronic hypertension — Superimposed preeclampsia is diagnosed when a woman with preexisting hypertension develops new onset proteinuria after 20 weeks of gestation. Women with both preexisting hypertension and proteinuria are considered preeclamptic if there is an exacerbation of blood pressure to the severe range (systolic 160 mmHg or diastolic 110 mmHg) in the last half of pregnancy, especially if accompanied by symptoms or increased liver enzymes or thrombocytopenia.
  • Management of Pre Eclampsia
    In women with severe preeclampsia remote from term, the decision to continue pregnancy beyond that interval required for the administration of corticosteroids depends upon daily maternal and fetal assessment with continual review of the ongoing risks of conservative management versus the benefit of further fetal maturation. Such women should be cared for in a hospitalized setting and by, or in consultation with, a maternal-fetal medicine specialist.
  • Female Circumcision
    In this scenario it is talking about very scaring traditional practice which involves cutting of female genitalia by knives, razor blades, or by piece of glass. The purpose of this practice is to maintain female virginity and to restrain women from sexual acts before marriages. This practice is known as “Female Circumcision (FC) or Female Genital Mutilation (FMG)”. There are three types of female circumcision: in type one (prepuce) the clitoris is cut off; in type two, clitoris and labia minora (inner covering of the vagina) are cut off; and in type three clitoris and labia minora are cut and labia majora (outer covering of the vagina) is stretched and stitched together, this type is called infibulation. In infibulation a small opening is left for the urination and menstruation. This tradition appeared 2000 years ago and it is still practice in Middle East countries, Malaysia, Indonesia, and in some Muslim population of India, Pakistan and East Africa. According to Dorkenoo (as cited in Gibeau, 1998).
  • Cardiac Catheterization
    Simultaneous aortic and LV pressure tracing (signs of severe AR).

    o Wide pulse pressure may be present.
    o LV diastolic pressure increases rapidly.
    o Near quilibration of aortic and LV pressure occurs at diastole.
  • Schizophrenia and Social Support
    Looking at my patient’ scenario I feel she had multiple factors which led her to mental illness these were; poverty, lack of parental attention in childhood and teenage, unavailability of supportive person, loss of husband, suppression of own feelings due to role transition, and social stigma.
  • Schizophrenia and Social Support
    Looking at my patient’ scenario I feel she had multiple factors which led her to mental illness these were; poverty, lack of parental attention in childhood and teenage, unavailability of supportive person, loss of husband, suppression of own feelings due to role transition, and social stigma.
  • The Effectiveness Of Psychological Treatments For Treatment Resistant
    About 30% of people with depression do not respond to an antidepressant at the recommended dose and can be described as having treatment-refractory depression.
  • The Effectiveness Of Psychological Treatments For Treatment Resistant
    About 30% of people with depression do not respond to an antidepressant at the recommended dose and can be described as having treatment-refractory depression.
  • Hair Loss Prevention
    Benefits of All-Natural Hair Loss Prevention With all-natural Provillus, you will not experience any side effects, unlike those products that use a variety of chemicals as active ingredients. You will also be spared the time, money, and embarrassment that often come with visits to the doctor, since Provillus does not require a prescription. Most importantly, you will get the results you are looking for.
  • Hair Loss Prevention
    Benefits of All-Natural Hair Loss Prevention With all-natural Provillus, you will not experience any side effects, unlike those products that use a variety of chemicals as active ingredients. You will also be spared the time, money, and embarrassment that often come with visits to the doctor, since Provillus does not require a prescription. Most importantly, you will get the results you are looking for.
  • Hair Loss Solution
    Saw palmetto, an essential active ingredient in Provillus, is one of the few natural substances that have been approved by the FDA for use in hair loss programs. When you use our hair loss supplements, the saw palmetto will lower DHT levels by blocking receptor sites on cell membranes. As DHT levels subside, hair loss will subside as well.
  • Hair Loss Treatment
    Hair Loss Treatment for Women Hair loss in women is not nearly as common as it is in men. However, because it is rarer and usually more subtle than typical male pattern baldness, it often goes undetected or misdiagnosed. Our hair loss treatment is as effective for women as it is for men, offering fast and comprehensive results for many types of hair loss.
  • Hair Restoration Products
    Saw palmetto, an essential active ingredient in Provillus, is one of the few natural substances that have been approved by the FDA for use in hair loss programs. When you use our hair loss supplements, the saw palmetto will lower DHT levels by blocking receptor sites on cell membranes. As DHT levels subside, hair loss will subside as well.
  • Natural Hair Loss Remedy
    Unlike the majority of products that claim to prevent hair loss, Provillus comes with a money-back guarantee. When you begin to use Provillus you have up to six months to judge the results. If at any point during that time you are unhappy with this natural hair loss remedy, you can return it to receive a full refund.
  • Regrow Hair
    Provillus, an oral supplement, works to block DHT, a form of testosterone that is responsible for 95 percent of hair loss. It also works to stimulate the scalp and bring dead follicles back to life. You can use Provillus as a preventative tool, starting the program before hair loss becomes severe, or you can use it after DHT has already begun to take hold of your hair and scalp.
  • Regrow Hair
    Provillus, an oral supplement, works to block DHT, a form of testosterone that is responsible for 95 percent of hair loss. It also works to stimulate the scalp and bring dead follicles back to life. You can use Provillus as a preventative tool, starting the program before hair loss becomes severe, or you can use it after DHT has already begun to take hold of your hair and scalp.
  • Stop Hair Loss
    As the saw palmetto in Provillus blocks DHT, vitamin B6, biotin, zinc, and magnesium work to provide your scalp with the vital nutrients it needs to produce healthy hair. Gota Kola, Eleuthro, Uva-Ursi, pumpkin oil, and other extracts are also used to stimulate hair growth and assist with protein synthesis and energy metabolism. This effective combination has made Provillus extremely successful in stopping hair loss and kickstarting regrowth. In fact, this supplement is rated as the best hair loss treatment pill on the market!
  • Stop Hair Loss
    As the saw palmetto in Provillus blocks DHT, vitamin B6, biotin, zinc, and magnesium work to provide your scalp with the vital nutrients it needs to produce healthy hair. Gota Kola, Eleuthro, Uva-Ursi, pumpkin oil, and other extracts are also used to stimulate hair growth and assist with protein synthesis and energy metabolism. This effective combination has made Provillus extremely successful in stopping hair loss and kickstarting regrowth. In fact, this supplement is rated as the best hair loss treatment pill on the market!
  • Stop Hair Loss
    As the saw palmetto in Provillus blocks DHT, vitamin B6, biotin, zinc, and magnesium work to provide your scalp with the vital nutrients it needs to produce healthy hair. Gota Kola, Eleuthro, Uva-Ursi, pumpkin oil, and other extracts are also used to stimulate hair growth and assist with protein synthesis and energy metabolism. This effective combination has made Provillus extremely successful in stopping hair loss and kickstarting regrowth. In fact, this supplement is rated as the best hair loss treatment pill on the market!
  • The Truth about Hair Loss
    As we get older, both men and women experience some hair loss. It’s a normal part of the aging process. Called Androgenetic Alopecia, it accounts for 95% of all hair loss. Androgentic Alopecia often runs in families and affects some people more than others. In men it is often referred to as Male Pattern Baldness.

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