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

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  • Pulmonary Sarcoidosis Vs Tuberculosis
    Sarcoidosis with a prevalence of 10/100,000, is a multisystem disease of unknown etiology characterized by non-caseating granulomas.i It involves virtually any organ, lungs, thoracic lymph nodes, skin liver, central nervous system, eyes, kidneys and heart, and is more common in Afro-Americans. There is no sex predilection but some manifestations of the disease are more common is females. ˛ It begins in the third or fourth decade and tends to be rare in children and the elderly.
  • Tuberculosis (TB) Part I
    Tuberculosis (TB) is the number one infections disease killer worldwide. The World Health Care Organization estimates that 2 billion people have latent TB, while another 3 million people worldwide die each year due to TB.
  • Tuberculosis (TB) Part II
    Typical symptoms of pulmonary TB include a productive cough, fever, and weight loss. Occasionally, patients may presents with hemoptysis or chest pain. Other systemic symptoms include anorexia, fatigue, or night sweats.
  • Management of patients with Viral Hemorrhagic Fever (VHF)
    Nosocomial Transmission is well described in reports from Pakistan, Iraq, Dubai, and South Africa. Available evidence suggests that blood and other body fluids are highly infectious, but simple precautions, such as barrier nursing, effectively prevent secondary transmission.
  • Approach To A Suspected Case Of VHF
    Mucous membrane contact with the patient (kissing, sexual intercourse), health care worker who has done CPR, intubations or line placement without precautions. Needle-Stick or other penetrating injury. These contacts should be placed under surveillance as soon as VHF is considered to be a likely diagnosis in the index patient. Any contact that develops a temperature 38.30C or higher or any other symptoms of illness should be immediately isolated and treated as a VHF patient.
  • Aortic Regurgitation
    Antegrade flow across the mitral valve is thought to cause an Austin Flint murmur, which is a mind and late diastolic apical low frequency murmur or rumble. The rumble occurs during rapid closure of the mitral valve as flow velocity is increasing across the valve and LV diastolic pressure is rising rapidly because of severe aortic reflux. Its presence indicates severe AR.
  • Aortic Regurgitation Causes
    Angina pectoris may occur without CAD because coronary perfusion is inadequate to meet the demands of the enlarged and hypertrophic left ventricle. Less commonly, aortitis can involve the origion of the coronary arteries, leading to angina.

    • Palpitation is a common complaint associated with a hyperdynamic and tachycardic left ventricle in significant AR Palpitation also may be due to frequent premature ventricular contraction.
  • 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.
  • Effect Of Depression On Glycemic Control In Type Two Diabetes Mellitis
    Nosocomial Transmission is well described in reports from Pakistan, Iraq, Dubai, and South Africa. Available evidence suggests that blood and other body fluids are highly infectious, but simple precautions, such as barrier nursing, effectively prevent secondary transmission.
  • 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.
  • Nursing Profession
    A minimum of two passes at GCE A Level, equivalent to 12 A Level points, and three further GCSE passes at grade C or above, normally including English and Mathematics; or equivalent profile. Other entry requirements are based on the course chosen.
  • 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.
  • 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.
  • 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.
  • Buy Diet Pills
    You may be familiar with Phase 2, which was very popular among those finding it difficult to lose weight with diet and exercise alone. Derived from the white kidney bean, Phase 2 neutralizes the enzyme alpha amylase produced in the pancreas, normally used to break down carbs.
  • Carb Blockers
    Dietrine Carb Blocker uses Phase 2 (extracted from the white kidney bean) to prevent your body from breaking carbs into fat and glucose. By restricting alpha amylase, the agent that breaks down carbs, carbohydrate calories move through your system smoothly.
  • Diet Pills That Work
    On the other hand, Dietrine Carb Blocker combines cutting-edge pharmaceutical technology with 100 percent safe, all-natural ingredients. This amazing pill's effective ingredient, Phase 2, comes from the white kidney bean, and works quickly and effectively to prevent carbs from being broken down into fat and sugar. With Dietrine Carb Blocker with Phase 2, you can enjoy a healthy, balanced diet, without worrying about weight gain from carbs.
  • Fat Blockers
    Dietrine Carb Blocker with Phase 2 is a safe, natural way to lose weight. It's easy to moderate your diet and avoid the intake of new fat when you have a pill that works with your body's natural digestive processes.
  • Arthritis Treatments
    The symptoms of any arthritis start with pain. There is pain in the joints in a way that limits the amount of movement a person has. Now, remember, as well, that arthritis can strike any individual, not necessarily just older people. So, if a child stops using a limb complaining of pain, a doctor should be seen.
  • Herbal Diet Pills
    There are many prescription-level diet pills that promise weight loss results like Dietrine Carb Blocker. The problem with these pills is that the FDA has labeled them as controlled substances. This means that a prescription is required to get them, and most doctors won't prescribe them for those looking to lose a small amount of weight.
  • Suffering From Joint Pain?
    Cartilage is what keeps the bones from grinding against each other. As your immune system eats away at your joint cartilage, pain is brought on by the formation of nerve endings in the affected area. Eventually, the pain is so sever that mobility in those joints is virtually impossible.
  • Natural Diet Pills
    The benefits of using natural supplements like Dietrine Carb Blocker are many. First, you won't need a prescription to get your pills. This will save you time and money in visits to the doctor's office and prescription drug costs.
  • 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.
  • 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.
  • Over The Counter Diet Pills
    The problem with that theory is that it's not always true--if it was, obesity would not be the problem that it is. Some people just need more help to lose the weight, and over the counter diet pills can be the answer.
  • 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.
  • Suffering From Joint Pain?
    the joint pain caused by rheumatoid arthritis is a function of the immune system destroying the cartilage in the joints affected. Cartilage is what keeps the bones from grinding against each other. As your immune system eats away at your joint cartilage, pain is brought on by the formation of nerve endings in the affected area. Eventually, the pain is so sever that mobility in those joints is virtually impossible.
  • Suffering From Joint Pain?
    the joint pain caused by rheumatoid arthritis is a function of the immune system destroying the cartilage in the joints affected. Cartilage is what keeps the bones from grinding against each other. As your immune system eats away at your joint cartilage, pain is brought on by the formation of nerve endings in the affected area. Eventually, the pain is so sever that mobility in those joints is virtually impossible.
  • Cigratte Smoking Resposible for 1 of 5 Deaths
    Centers for Disease Control and Prevention. Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses * U.S., 1997-2001. Morbidity and Mortality Weekly Report (MMWR) 2005; 54(25); 625-628.
  • Help Quit Smoking
    Many of the gums and patches on the market contain nicotine, so even as you are using them to quit, you still can't get the chemical out of your system! At Ultra Herbal, our Nicocure patches offer you an effective, natural alternative to the nicotine-derived products on the market.
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