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

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Mother’s Day Gifts Guide Jewelry is a classic and traditional gift for mothers on Mother’s Day. Many young children’s gift ideas for their moms usually are hand-made bracelets, complete with colored plastic beads, cereal rings or macaroni noodles. But then as children grow up, edible jewelry is replaced by hand written letters of love, handprint cards and colored pages from a favorite coloring book. Mother’s Day Gift Collection Jewelry is a classic and traditional gift for mothers on Mother’s Day. Many young children’s gift ideas for their moms usually are hand-made bracelets, complete with colored plastic beads, cereal rings or macaroni noodles. But then as children grow up, edible jewelry is replaced by hand written letters of love, handprint cards and colored pages from a favorite coloring book. Mother’s Day Gift Ideas Mothers are one of the most important people in a child’s life, what better way to celebrate Mother’s Day with sweet, love-filled gifts depending on the budget. Staying-home mothers look out for home durables so if your budget is high it is always a very good idea to gift them something like a microwave, cookery set, steam iron, vacuum cleaner or any other kitchen appliances. If your mother is a working woman than you can definitely gift her dress according to her taste it can be anything from casual wear to formal office wear or an official leather bag. If she is a pet lover than you can gift her pets like small puppies and cats. . Lawful & Unlawful Food While the people were brought up in an environment deeply influenced by centuries’ old custom, religious superstitions and prejudices, it was not easy to break down the barriers, because their minds agitated by doubts, which could be, as they wanted, removed by further instructions. That is the reason that the Koran repeatedly made statement dealing with the various kinds of foods lawful or unlawful to Muslims. Thus, the second time a statement akin to the first one (6:145) was revealed: “So eat of what God has provided you, lawful and good; and be you thankful for the blessing of God, if it be Him that you serve. These things only He has forbidden you carrion, blood, and the flesh of swine, what has been hallowed to other than God. Yet whoso is constrained, not desiring nor transgressing, the God is Forgiving, Merciful. And do not say, as to what your tongue falsely describe, “this is lawful and this is forbidden,” so that you may forge against God falsehood, surely those who forge against God falsehood shall not prosper” (16:114-118). Christmas Gift Giving People who are well-off generally buy gifts for family & friends but the holiday is not as commercial as it is American & European countries, because main emphasis is more on the religious part of celebrating the birth of Jesus Christ than gift giving. Usually & most importantly, Christians buy a new set of clothes to be worn to the church service. Majority of African Christians are too poor to be able to afford presents for their children & there aren't too many toy stores in rural Africa to shop at anyway. If gifts have to be exchanged in poorer communities they usually come in the form of school books, soap, cloth, candles and other practical goods. Christmas in America In an English tradition that survived in some parts of North America, Christmas revelers would dress in costume and progress from door to door to receive gifts of food and drink. Most holiday gifts were limited to small amounts of money and modest presents passed from the wealthy to the poor and from masters to their servants. Families almost never exchanged Christmas gifts among themselves. Hoodia Diet Supplement How does it function?Well, the Hoodia Diet Supplement has been shown to have some specific effects in the area of weight-loss. Still before running out to buy the latest Gordonii pill from your drug store, try to know certain things. Here are three groundbreaking ways Hoodia Gordonii helps you to lose your weight. Hoodia Diet Pills- An Excellent Weight Loss Pill According to Phytopharm, the company that holds the patent on the process to extract ?P57' an active ingredient from hoodia, human subjects taking hoodia roots reduced their calorie intake by as much as 2k calories a day. So figures are impressive, and so far the overall results are satisfactory. History of Hoodia Gordonii Does Phytopharm own the patent on the whole Hoodia Gordonii plant?This is an interesting question that we are sure will be decided in court one day. Here is our take on the situation - Phytopharm clearly owns the patent on the P57 molecule. If you want to try to make a diet drug with P57 you need to work through Phytopharm. The Clinical Approach to Acid-Base Disorders Methods to Interconvert pH and [H+]:The 0.1 pH Change Rule: PH Conversion Factor [H+] nmol/L 6.90 100 / 0.8 125 7.00 100 100 7.10 100 X 0.8 80 7.20 100 X 0.8 X 0.8 64 Pulmonary Function Testing Pulmonary Function Issues Related to Measured Values: • Overinflation of Lungs – Emphysema - COPD - Permanently – Asthma - Acutely • ? RV + Ratio RV/TLC • FEV1/ FVC ratio falls below 80% - Also flow rates fall – With age (lungs less compliant) – Falls with obstructive diseases; e.g. asthma/bronchitis • Asthma - obstructive disease ? increased collapsing force of large airways – obstruction to expiratory flow ? lung volume – bronchodilators may return flow to normal • Early COPD - characterized by irreversible ? in small airway resistance that reduces expiratory flow – not very responsive to dilators • Severe COPD - ? small & large airway resist – severe flow limitations – bronchodilators ? little help – chronic bronchitis and emphysema • Emphysema - loss of elastic recoil ? ? small airway collapse during expiration, thereby ? resistance – Max Expiratory Flow ? – Bronchodilators have no effect – ? FRC + TLC Guillain Barre Syndrome Me 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. Guillain Barre Syndrome Me 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. 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. Chronic Obstructive Pulmonary Disease. COPD A disease state characterized by airflow limitation that is not fully reversible. Airflow limitation is usually both progressive and associated with an abnormal inflammatory response of the lungs to noxious particles or gases. Symptoms, functional abnormalities, and complications of COPD can all be explained on the basis of this underlying inflammation and the resulting pathology. Chronic Gastric Diseases Overview: Gastric Causes of Chronic Vomiting - Chronic gastritis – Lymphocytic/plasmacytic – Eosinophilic – Associated with GHLOs – Parasitic – Reflux gastritis - Gastric foreign body - Gastric ulceration - Gastric motility disorders - Gastric neoplasia Chronic Gastric Diseases Overview: Gastric Causes of Chronic Vomiting - Chronic gastritis – Lymphocytic/plasmacytic – Eosinophilic – Associated with GHLOs – Parasitic – Reflux gastritis - Gastric foreign body - Gastric ulceration - Gastric motility disorders - Gastric neoplasia 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 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. Acnezine Treatment for Acne in Pregnancy Plan Before You Get PregnantIf you are planning to get pregnant, it is important to discuss your acne treatments with your doctor. Many of these can harm the unborn baby. These include tetracycline antibiotics, oral isotretinoin (Roaccutane, Accutane) and topical retinoids (tretinoin, isotretinoin and adapalene). Erythromycin is the only antibiotic regarded as being safe in pregnancy, but it may not be very effective as many skin bacteria are now resistant to it. However, it's probably better to avoid all medications if possible. 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. 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).

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