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anonymous

Pretest Pediatrics is an essential high yield review app for board prep - 0 views

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    "Pediatrics presents its own set of challenges: memorizing different parameters of normal vital signs, learning how to interact with children and their parents, and studying a fascinating constellation of congenital anomalies and syndromes."
anonymous

Functional neurologic abnormalities due to prenatal alcohol exposure are common | Persp... - 0 views

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    Most children who are exposed to large amounts of alcohol while in the womb do not go on to develop fetal alcohol syndrome (FAS). Instead, problems that arise fall under a broader term that describes a spectrum of adverse outcomes, fetal alcohol spectrum disorders (FASD).
anonymous

Every Woman Every Child - 0 views

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    Every Woman Every Child" is a global effort bringing together governments, philanthropic institutions and other funders, the United Nations and multilateral organizations, civil society and non-governmental organizations, the business community, health-care workers and professionals, and academic and research institutions around the world that support the "Global Strategy for Women's and Children's Health", which was launched during the United Nations Millennium Development Goals Summit. The Global Strategy for Women's and Children's Health provides a new opportunity to improve the health of hundreds of millions of women and children around the world, and in so doing, to improve the lives of all people.
anonymous

Doctor Dad : Health Literacy Program for Fathers: Overview : National Fatherhood Initia... - 0 views

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    "DoctorDad™ Workshops are great for new and expectant dads as it helps increase fathers' health literacy by providing men with the knowledge and skills they need to successfully care for their young children right from the start.( "
avivajazz  jazzaviva

HealthBase | New Semantic Search | MedSearch - 0 views

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    Content sources tapped for "atherosclerosis" search results: Pubmed, NewsRX, MedicineNet, NaturalNews, oilofpisces.com, NIDDK, NIH, eMedicine, Children with Diabetes, Yahoo! Health
Gloria Shiverdecker

Child Fitness and Development - Fitness for HealthFitness for Health - 0 views

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    Support your child's development by purchasing the proper fitness equipment. With so many sedentary activities, it's important that your children stay active. Swinging is great exercise for you and your child. Look for items that will promote social interaction by allowing for multiple participants and also leave room for the imagination to run wild!
mmgillis

Assessment of decision-making capacity in adults - 3 views

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    "WHAT TO DO WHEN A PATIENT LACKS CAPACITY - The degree and urgency with which to act on findings of impaired capacity depends on multiple factors, including the expected duration of impairment, the severity of the impairment, and the seriousness of the decision. Unless the urgency of a patient's medical condition requires that a substituted decision be made immediately, efforts should be made to identify and correct any reversible causes of the impairment [26]. This is particularly relevant in hospitalized patients with impaired capacity due to delirium. Treatment of the underlying causes of delirium may restore decision-making capacity. Patients with mild to moderate cognitive impairment that is not expected to fluctuate may benefit from more intensive efforts at education to improve understanding of the relevant facts, followed by reassessment of decision-making abilities. A randomized trial found that a memory and organizational aid given to patients with mild stage Alzheimer disease dementia (n = 80) improved performance on understanding, which in turn increased the likelihood of being judged capable of providing informed consent to enroll in a clinical trial [34]. This enhancement was also effective in a randomized trial with middle-aged and older adults with schizophrenia [35]. For patients whose impairments are severe enough that they are judged to lack the capacity to make a decision, there is a clear ethical obligation to seek out a substitute decision maker. Substitute or surrogate decision makers should ideally have been chosen by the patient in advance. In the absence of a designated surrogate, laws may vary in terms of which people can serve in this proxy role and their hierarchy; in general, the order is the spouse, adult children, parents, siblings, and other relatives. (See "Legal aspects in palliative and end of life care", section on 'Surrogate decision makers'.) When making a substituted decision, the proxy should take into consideration
anonymous

What are the Roots? - 0 views

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    "While we discuss each root separately, many, if not all, of them frequently interconnect and intertwine in ways that create devastating cumulative impacts for far too many of our youth. These interconnections must be recognized in long-range comprehensive strategies to address the roots of the serious violence that confronts us as a society."
Dr.Ravichandra Karkal

WORKUP AND DIAGNOSIS OF A SOLITARY THYROID NODULE from Townsend: Sabiston Textbook of S... - 0 views

  • Rapid growth and signs of possible invasion, such as pain or hoarseness, are most suggestive, but not conclusive of malignancy
  • Clinical groups with the highest risk for malignancy in a thyroid nodule are children, males, adults younger than 30 or older than 60 years, and those exposed to radiation therapy, especially during childhood
  • history of specific endocrine disorders
    • Dr.Ravichandra Karkal
       
      medullary carcinoma, MEN 2, or papillary thyroid cancer (PTC), or a history of familial polyposis, including Gardner's syndrome.
  • ...9 more annotations...
  • Serum Tg has been reported as useful in predicting a well-differentiated carcinoma
  • Radioisotope Scanning
  • radionuclide scans allow assessment of thyroid function.
  • Technetium pertechnetate (99mTc) is taken up rapidly by the normal activity of follicular cells. It is trapped by follicular cells, but not organified. 99mTc has a short half-life and low radiation dose. Its rapid absorption allows quick evaluation of increased uptake (so-called hot) or hypofunctioning (so-called cold) areas of the thyroid.
  • 123I and 131I iodine scintigraphy is also used to evaluate the functional status of the gland
  • Advantages of scanning with 123I include a low dose of radiation (30 mrad) and short half-life.
  • 123I is a good choice for evaluating suspected lingual thyroids or substernal goiters.
  • 131I has a longer half-life (8 days) and emits higher levels of β-radiation. 131I is optimal for imaging thyroid carcinoma.
  • screening modality of choice for the evaluation of distant metastasis.
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