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TALL STATURE

Tall Stature Definition: Tall stature is defined as height of the child is greater than 2 SD above the population mean for age & sex, using growth charts based on local reference standards. If there is significant discrepancy between the mid – parental centile & child’s height, detailed assessment is indicated. History · A detailed history of early growth including birth weight & length should be obtained. · Birth weight & length are usually above 2 SD in children with primary growth disorders like Sotos, Beck with – Widemann & Marfan Syndromes. They continue to show accelerated growth velocity in infancy & early childhood. · Children with constitutional tall stature are within normal range for birth weight & length & demonstrate accelerated growth velocity in early childhood. · Neonatal hypoglycemia can be a f...

OBESITY & COMMERCIAL AIRCREW ,Pilots

OBESITY & COMMERCIAL AIRCREW 1. Obesity is defined as an excess concentration of body fat or adipose tissue. Obesity and overweight are terms often used interchangeably, but they do not necessarily represent the same situation. Some individuals may be overweight but not obese, while obese individuals are overweight to a certain defined degree. The medical implications of obesity are more of a cause for concern for the employer than the regulatory body, in view of the nature of the disability & its ability to cause acute incapacitation.Overweight and obese individuals are at increased risk for many diseases and health conditions, including hypertension, dyslipidemia,Type 2 diabetes mellitus, coronary heart disease, stroke, gallbladder disease, osteoarthritis, sleep apnea etc. 2. Methods to measure body fat include BMI, Hip Waist Ratio, skinfold thickness, underwater weighing, bioelectrical impedance, dual-energy x-ray absorptiometry (DXA), and computerized tomography. Body M...

Needless Vaccination in Paediatric population age 12yr to 18yr by ZYCOV- D By DR BHARGAVI BADE

Cadila Healthcare Limited, India developed a candidate vaccine ZyCoV-D comprising of a DNA plasmid vector carrying the gene encoding the spike protein (S) of the SARS-CoV-2 virus. (S) protein, following immunization with three doses adminis- tered 28 days apart. Neutralizing antibody response was also demonstrated against wild type SARS-CoV-2 strain, which may play a substantial role in viral clearance and mitigation of human clinical disease. Implications of all the available evidence Many vaccine candi- dates are in rapid development, including recombinant-protein based vaccines, replicating or non-replicating viral vector- based vaccines, DNA vaccines, and mRNA vaccines (which mostly have focused on the spike glycoprotein or receptor binding domain), live attenuated vaccines, and inactivated virus vaccines. Our findings indicate that DNA vaccine is safe and immunogenic in healthy adults. ZyCoV-D® vaccination course consists of three separate doses of 0.2 ml each. ZyCoV-D® vaccinat...

fever with rash

Fever With Skin Rash in Children Rubella(German Measles) (3 day Measles) image.png · It was initially recognized as resembling measles & was closely studied by German Physicians. Later on, continued to be called as German Measles. · Post natal infection with rubella à mild disease, · Low grade fever, sore throat, red eyes, headache, · Suboccipital, posterior auricular, anterior cervical lymphnodes are enlarged. · Petechiael haemorrhages on soft palate. · Rashes for 3 days · Thrombocytopenia, Arthritis, Encephalitis & Progressive rubella panencephalitis are known complications. Congenital Rubella Syndrome image.png · Maternal rubella infection in first trimester (embryogenesis) à defects in 90% of the off springs · Nerve deafness (single most common) · CHD (PDA, Pulmonarystenosis, Septal defects) · ...

precaution for doctors in dengue

  Dengue Management DON’Ts   do X  DON’T use corticosteroids.  They are not indicated and can increase the risk of GI bleeding, hyperglycemia, and immunosuppression.    X  DON’T give platelet transfusions for a low platelet count.  Platelet transfusions do not decrease the risk of severe bleeding and may instead lead to fluid overload and prolonged hospitalization.    X  DON’T give half normal (0.45%) saline.  Half normal saline should not be given, even as a maintenance fluid, because it leaks into third spaces and may lead to worsening of ascites and pleural effusions.    X  DON’T assume that IV fluids are necessary.  First check if the patient can take fluids orally. Use only the minimum amount of IV fluid to keep the patient well-perfused. Decrease IV fluid rate as hemodynamic status improves or urine output increases.     ✓   DO tell outpatients when to return.  Teach them about...

Know ur covid vaccine

  Coronavirus disease 2019 (COVID-19) is a contagious disease caused by corona virus (SARS-CoV-2). The first case was identified in Wuhan, China, in December 2019. It has since spread worldwide, leading to an ongoing pandemic. (1) COVID-19 vaccines have been developed at an unprecedented speed. Currently, there are 18 vaccines who have received EUA whereas 184 candidate vaccines are in preclinical development and 104 in clinical stages of development. (2, 3) The Vaccines approved by Drugs Controller General of India (DCGI) have been listed in table no. 1 below (4)- Table-1 : COVID-19 vaccines approved for Restricted Use in Emergency Situation by DCGI S.N Vaccine Firm & Date of EUA Dosing Schedule Approved for age group Route 1. ChAdOx1 nCoV-19 Corona Virus vaccine Recombinant) [Chimpanzee Adeno vector] (Covishield vaccine) M/s Serum Institu...