<?xml version='1.0' encoding='UTF-8'?><?xml-stylesheet href="http://www.blogger.com/styles/atom.css" type="text/css"?><feed xmlns='http://www.w3.org/2005/Atom' xmlns:openSearch='http://a9.com/-/spec/opensearchrss/1.0/' xmlns:georss='http://www.georss.org/georss' xmlns:gd='http://schemas.google.com/g/2005' xmlns:thr='http://purl.org/syndication/thread/1.0'><id>tag:blogger.com,1999:blog-34748886</id><updated>2011-04-21T18:19:22.445-07:00</updated><title type='text'>HEALTH FOR CHILDREN</title><subtitle type='html'></subtitle><link rel='http://schemas.google.com/g/2005#feed' type='application/atom+xml' href='http://nsyendri.blogspot.com/feeds/posts/default'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default?max-results=100'/><link rel='alternate' type='text/html' href='http://nsyendri.blogspot.com/'/><link rel='hub' href='http://pubsubhubbub.appspot.com/'/><author><name>Nirwan Satria, M.D</name><uri>http://www.blogger.com/profile/07654391346750418184</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><generator version='7.00' uri='http://www.blogger.com'>Blogger</generator><openSearch:totalResults>12</openSearch:totalResults><openSearch:startIndex>1</openSearch:startIndex><openSearch:itemsPerPage>100</openSearch:itemsPerPage><entry><id>tag:blogger.com,1999:blog-34748886.post-281632671721309633</id><published>2008-11-15T16:49:00.000-08:00</published><updated>2008-11-15T16:56:30.905-08:00</updated><title type='text'>Congenital Heart Disease</title><content type='html'>&lt;div align="justify"&gt;&lt;a href="http://2.bp.blogspot.com/_HZBkszjwH6Y/SR9vIANQ8eI/AAAAAAAAAAY/WonygCR6vVw/s1600-h/chd.gif"&gt;&lt;img id="BLOGGER_PHOTO_ID_5269052272332042722" style="DISPLAY: block; MARGIN: 0px auto 10px; WIDTH: 400px; CURSOR: hand; HEIGHT: 400px; TEXT-ALIGN: center" alt="" src="http://2.bp.blogspot.com/_HZBkszjwH6Y/SR9vIANQ8eI/AAAAAAAAAAY/WonygCR6vVw/s400/chd.gif" border="0" /&gt;&lt;/a&gt;Congenital heart disease (CHD) is a heart-related problem that is present at birth. There are many different types of congenital heart defects that vary in severity. The defects may affect various structures in the heart, including the valves, the veins leading to the heart, the arteries leaving the heart, the connections and interrelationships among these various parts, and even the location of the heart within the chest. &lt;br /&gt;&lt;a href="javascript:void(null);"&gt;&lt;/a&gt;&lt;/div&gt;&lt;div align="justify"&gt;A physician may suspect that one of these heart defects is present if a child is not growing normally, is having breathing problems at birth, has a heart murmur or has one or more signs (e.g., a bluish tint to the skin called cyanosis). Various diagnostic tests are available to help physicians find the exact cause of the heart problem and to determine the proper treatment.&lt;/div&gt;&lt;div align="justify"&gt; &lt;/div&gt;&lt;div align="justify"&gt;Each year, roughly 36,000 babies are born with CHD in the United States, which amounts to almost one child in every one hundred being born with some form of CHD. Although there was a time when children born with congenital heart disease often had little hope for a full life, modern medicine now provides multiple treatment options. &lt;/div&gt;&lt;div align="justify"&gt; &lt;/div&gt;&lt;div align="justify"&gt;CHD may be treated with certain medications, minimally invasive procedures, and surgeries that offer the promise of a much brighter and healthier future. There are approximately one million Americans living today with a congenital heart defect. The advancements have been so successful over the last forty years that there are more adults alive today with treated CHD than children with CHD.&lt;/div&gt;&lt;div align="justify"&gt;&lt;br /&gt;&lt;/div&gt;&lt;div align="justify"&gt;&lt;/div&gt;&lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/34748886-281632671721309633?l=nsyendri.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://nsyendri.blogspot.com/feeds/281632671721309633/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=34748886&amp;postID=281632671721309633' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/281632671721309633'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/281632671721309633'/><link rel='alternate' type='text/html' href='http://nsyendri.blogspot.com/2008/11/congenital-heart-disease.html' title='Congenital Heart Disease'/><author><name>Nirwan Satria, M.D</name><uri>http://www.blogger.com/profile/07654391346750418184</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><media:thumbnail xmlns:media='http://search.yahoo.com/mrss/' url='http://2.bp.blogspot.com/_HZBkszjwH6Y/SR9vIANQ8eI/AAAAAAAAAAY/WonygCR6vVw/s72-c/chd.gif' height='72' width='72'/><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-34748886.post-6115508139778903498</id><published>2008-09-13T19:44:00.000-07:00</published><updated>2008-09-13T20:32:25.388-07:00</updated><title type='text'>Tetanus</title><content type='html'>&lt;b&gt;Tetanus&lt;/b&gt; is a medical condition that is characterized by a prolonged contraction of &lt;a href="http://en.wikipedia.org/wiki/Skeletal_muscle" title="Skeletal muscle"&gt;skeletal muscle&lt;/a&gt; fibres. The primary symptoms are caused by &lt;a href="http://en.wikipedia.org/wiki/Tetanospasmin" title="Tetanospasmin"&gt;tetanospasmin&lt;/a&gt;, a &lt;a href="http://en.wikipedia.org/wiki/Neurotoxin" title="Neurotoxin"&gt;neurotoxin&lt;/a&gt; produced by the &lt;a href="http://en.wikipedia.org/wiki/Gram-positive" title="Gram-positive" class="mw-redirect"&gt;Gram-positive&lt;/a&gt;, &lt;a href="http://en.wikipedia.org/wiki/Anaerobic_organism" title="Anaerobic organism"&gt;obligate anaerobic bacterium&lt;/a&gt; &lt;i&gt;&lt;a href="http://en.wikipedia.org/wiki/Clostridium_tetani" title="Clostridium tetani"&gt;Clostridium tetani&lt;/a&gt;&lt;/i&gt;. Infection generally occurs through wound contamination, and often involves a cut or deep puncture wound. As the infection progresses, muscle &lt;a href="http://en.wikipedia.org/wiki/Spasms" title="Spasms" class="mw-redirect"&gt;spasms&lt;/a&gt; in the jaw develop, hence the common name, &lt;b&gt;lockjaw&lt;/b&gt;. This is followed by difficulty in swallowing and general muscle stiffness and spasms in other parts of the body. Infection can be prevented by proper immunization and by &lt;a href="http://en.wikipedia.org/wiki/Post-exposure_prophylaxis" title="Post-exposure prophylaxis"&gt;post-exposure prophylaxis&lt;/a&gt;.&lt;br /&gt;&lt;br /&gt;&lt;h2&gt;&lt;span style="font-size:85%;"&gt;&lt;span class="mw-headline"&gt;Signs and symptoms&lt;/span&gt;&lt;/span&gt;&lt;/h2&gt; &lt;p&gt;Tetanus affects &lt;a href="http://en.wikipedia.org/wiki/Skeletal_muscle" title="Skeletal muscle"&gt;skeletal muscle&lt;/a&gt;, a type of &lt;a href="http://en.wikipedia.org/wiki/Striated_muscle" title="Striated muscle"&gt;striated muscle&lt;/a&gt;. The other type of striated muscle, cardiac or &lt;a href="http://en.wikipedia.org/wiki/Heart_muscle" title="Heart muscle" class="mw-redirect"&gt;heart muscle&lt;/a&gt; cannot be tetanized, because of its intrinsic electrical properties. In recent years, approximately 11% of reported tetanus cases have been fatal. The highest mortality rates are in unvaccinated persons and persons over 60 years of age. &lt;i&gt;C. tetani&lt;/i&gt;, the bacterium that causes tetanus, is recovered from the initial wound in only about 30% of cases, and can be found in patients who do not have tetanus.&lt;/p&gt; &lt;p&gt;The incubation period of tetanus ranges from 3 to 21 days, with an average onset of clinical presentation of symptoms in 8 days. In general, the further the injury site is from the &lt;a href="http://en.wikipedia.org/wiki/Central_nervous_system" title="Central nervous system"&gt;central nervous system&lt;/a&gt;, the longer the incubation period. The shorter the incubation period, the higher the chance of death. In neonatal tetanus, symptoms usually appear from 4 to 14 days after birth, averaging about 7 days. On the basis of clinical findings, four different forms of tetanus have been described.&lt;/p&gt; &lt;p&gt;&lt;b&gt;Local tetanus&lt;/b&gt; is an uncommon form of the disease, in which patients have persistent contraction of muscles in the same anatomic area as the injury. The contractions may persist for many weeks before gradually subsiding. Local tetanus is generally milder; only about 1% of cases are fatal, but it may precede the onset of generalized tetanus.&lt;/p&gt; &lt;p&gt;&lt;b&gt;Cephalic tetanus&lt;/b&gt; is a rare form of the disease, occasionally occurring with &lt;a href="http://en.wikipedia.org/wiki/Otitis_media" title="Otitis media"&gt;otitis media&lt;/a&gt; (ear infections) in which &lt;i&gt;C. tetani&lt;/i&gt; is present in the flora of the middle ear, or following injuries to the head. There is involvement of the &lt;a href="http://en.wikipedia.org/wiki/Cranial_nerve" title="Cranial nerve" class="mw-redirect"&gt;cranial nerves&lt;/a&gt;, especially in the facial area.&lt;/p&gt; &lt;p&gt;&lt;b&gt;Generalized tetanus&lt;/b&gt; is the most common type of tetanus, representing about 80% of cases. The generalized form usually presents with a descending pattern. The first sign is &lt;a href="http://en.wikipedia.org/wiki/Trismus" title="Trismus"&gt;trismus&lt;/a&gt;, or lockjaw, and the facial spasms called &lt;a href="http://en.wikipedia.org/wiki/Risus_sardonicus" title="Risus sardonicus"&gt;risus sardonicus&lt;/a&gt;, followed by stiffness of the neck, difficulty in swallowing, and rigidity of pectoral and calf muscles. Other symptoms include elevated temperature, sweating, elevated &lt;a href="http://en.wikipedia.org/wiki/Blood_pressure" title="Blood pressure"&gt;blood pressure&lt;/a&gt;, and episodic rapid heart rate. &lt;a href="http://en.wikipedia.org/wiki/Spasm" title="Spasm"&gt;Spasms&lt;/a&gt; may occur frequently and last for several minutes with the body shaped into a characteristic form called &lt;a href="http://en.wikipedia.org/wiki/Opisthotonos" title="Opisthotonos" class="mw-redirect"&gt;opisthotonos&lt;/a&gt;. Spasms continue for 3–4 weeks, and complete recovery may take months.&lt;/p&gt; &lt;p&gt;&lt;b&gt;Neonatal tetanus&lt;/b&gt; is a form of generalized tetanus that occurs in newborn infants. It occurs in infants who have not acquired passive &lt;a href="http://en.wikipedia.org/wiki/Immunity_%28medical%29" title="Immunity (medical)"&gt;immunity&lt;/a&gt; because the mother has never been immunized. It usually occurs through infection of the unhealed umbilical stump, particularly when the stump is cut with a non-sterile instrument. Neonatal tetanus is common in many developing countries and is responsible for about 14% (215,000) of all neonatal deaths, but is very rare in developed countries&lt;/p&gt;&lt;span style="font-weight: bold;font-size:100%;" &gt;&lt;span class="mw-headline"&gt;Prevention&lt;/span&gt;&lt;/span&gt; &lt;p&gt;Tetanus can be prevented by &lt;a href="http://en.wikipedia.org/wiki/Vaccination" title="Vaccination"&gt;vaccination&lt;/a&gt;.&lt;sup id="cite_ref-MMWR_1991_4-0" class="reference"&gt;&lt;a href="http://en.wikipedia.org/wiki/Tetanus#cite_note-MMWR_1991-4" title=""&gt;[5]&lt;/a&gt;&lt;/sup&gt; The &lt;a href="http://en.wikipedia.org/wiki/Centers_for_Disease_Control_and_Prevention" title="Centers for Disease Control and Prevention"&gt;CDC&lt;/a&gt; recommends that adults receive a &lt;a href="http://en.wikipedia.org/wiki/Booster_shot" title="Booster shot" class="mw-redirect"&gt;booster&lt;/a&gt; vaccine every ten years, and standard care practice in many places is to give the booster to any patient with a puncture wound who is uncertain of when he or she was last vaccinated, or if he or she has had fewer than 3 lifetime doses of the vaccine. The booster cannot prevent a potentially fatal case of tetanus from the current wound, however, as it can take up to two weeks for tetanus antibodies to form.&lt;sup class="noprint Template-Fact"&gt;&lt;span title="This claim needs references to reliable sources since August 2008" style="white-space: nowrap;"&gt;[&lt;i&gt;&lt;a href="http://en.wikipedia.org/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"&gt;citation needed&lt;/a&gt;&lt;/i&gt;]&lt;/span&gt;&lt;/sup&gt; In children under the age of seven, the tetanus vaccine is often administered as a combined vaccine, &lt;a href="http://en.wikipedia.org/wiki/DPT_vaccine" title="DPT vaccine"&gt;DPT/DTaP vaccine&lt;/a&gt;, which also includes vaccines against &lt;a href="http://en.wikipedia.org/wiki/Diphtheria" title="Diphtheria"&gt;diphtheria&lt;/a&gt; and &lt;a href="http://en.wikipedia.org/wiki/Pertussis" title="Pertussis"&gt;pertussis&lt;/a&gt;. For adults and children over seven, the Td vaccine (tetanus and diphtheria) or Tdap (tetanus, diphtheria, and acellular pertussis) is commonly used.&lt;/p&gt;&lt;p&gt;  &lt;/p&gt;&lt;h2&gt;&lt;span style="font-weight: bold;font-size:85%;" class="mw-headline" &gt;Treatment&lt;/span&gt;&lt;span style="font-size:14;"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/h2&gt;  &lt;p&gt;The wound must be cleaned. Dead and infected tissue should be removed by surgical &lt;a href="http://en.wikipedia.org/wiki/Debridement" title="Debridement"&gt;debridement&lt;/a&gt;. &lt;a href="http://en.wikipedia.org/wiki/Metronidazole" title="Metronidazole"&gt;Metronidazole&lt;/a&gt; treatment decreases the number of &lt;a href="http://en.wikipedia.org/wiki/Bacteria" title="Bacteria"&gt;bacteria&lt;/a&gt; but has no effect on the bacterial toxin. &lt;a href="http://en.wikipedia.org/wiki/Penicillin" title="Penicillin"&gt;Penicillin&lt;/a&gt; was once used to treat tetanus, but is no longer the treatment of choice, owing to a theoretical risk of increased spasms. However, its use is recommended if metronidazole is not available. &lt;a href="http://en.wikipedia.org/wiki/Passive_immunization" title="Passive immunization"&gt;Passive immunization&lt;/a&gt; with human anti-&lt;a href="http://en.wikipedia.org/wiki/Tetanospasmin" title="Tetanospasmin"&gt;tetanospasmin&lt;/a&gt; &lt;a href="http://en.wikipedia.org/wiki/Immunoglobulin" title="Immunoglobulin"&gt;immunoglobulin&lt;/a&gt; or tetanus immune globulin is crucial. If specific anti-tetanospasmin immunoglobulin is not available, then normal human immunoglobulin may be given instead. All tetanus victims should be vaccinated against the disease or offered a booster shot.&lt;o:p&gt;&lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;a name="Mild_tetanus"&gt;&lt;/a&gt;&lt;span class="mw-headline"&gt;&lt;b style=""&gt;Mild tetanus&lt;/b&gt;&lt;/span&gt;&lt;b style=""&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p&gt;Mild cases of tetanus can be treated with:&lt;o:p&gt;&lt;/o:p&gt;&lt;/p&gt;  &lt;ul type="disc"&gt;&lt;li class="MsoNormal" style=""&gt;Tetanus immune globulin &lt;a href="http://en.wikipedia.org/wiki/Intravenous_therapy" title="Intravenous therapy"&gt;IV&lt;/a&gt; or &lt;a href="http://en.wikipedia.org/wiki/Intramuscular_injection" title="Intramuscular injection"&gt;IM&lt;/a&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/li&gt;&lt;li class="MsoNormal" style=""&gt;&lt;a href="http://en.wikipedia.org/wiki/Metronidazole" title="Metronidazole"&gt;metronidazole&lt;/a&gt;      &lt;a href="http://en.wikipedia.org/wiki/Intravenous_therapy" title="Intravenous therapy"&gt;IV&lt;/a&gt; for 10 days&lt;o:p&gt;&lt;/o:p&gt;&lt;/li&gt;&lt;li class="MsoNormal" style=""&gt;&lt;a href="http://en.wikipedia.org/wiki/Diazepam" title="Diazepam"&gt;diazepam&lt;/a&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/li&gt;&lt;li class="MsoNormal" style=""&gt;tetanus vaccination&lt;a name="Severe_tetanus"&gt;&lt;/a&gt;&lt;/li&gt;&lt;/ul&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span class="mw-headline"&gt;&lt;b style=""&gt;Severe tetanus&lt;/b&gt;&lt;/span&gt;&lt;b style=""&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p&gt;Severe cases will require admission to &lt;a href="http://en.wikipedia.org/wiki/Intensive_care" title="Intensive care"&gt;intensive care&lt;/a&gt;. In addition to the measures listed above for mild tetanus:&lt;o:p&gt;&lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;Lock-jaw in a patient suffering from tetanus.&lt;o:p&gt;&lt;/o:p&gt;&lt;/p&gt;  &lt;ul type="disc"&gt;&lt;li class="MsoNormal" style=""&gt;human tetanus immunoglobulin      injected &lt;a href="http://en.wikipedia.org/wiki/Intrathecal" title="Intrathecal"&gt;intrathecally&lt;/a&gt; (increases clinical improvement from      4% to 35%)&lt;o:p&gt;&lt;/o:p&gt;&lt;/li&gt;&lt;li class="MsoNormal" style=""&gt;&lt;a href="http://en.wikipedia.org/wiki/Tracheostomy" title="Tracheostomy"&gt;tracheostomy&lt;/a&gt;      and &lt;a href="http://en.wikipedia.org/wiki/Mechanical_ventilation" title="Mechanical ventilation"&gt;mechanical ventilation&lt;/a&gt; for 3 to 4      weeks,&lt;o:p&gt;&lt;/o:p&gt;&lt;/li&gt;&lt;li class="MsoNormal" style=""&gt;&lt;a href="http://en.wikipedia.org/wiki/Magnesium" title="Magnesium"&gt;magnesium&lt;/a&gt;,      as an &lt;a href="http://en.wikipedia.org/wiki/Intravenous" title="Intravenous"&gt;intravenous&lt;/a&gt; (IV) infusion, to prevent muscle spasm,&lt;o:p&gt;&lt;/o:p&gt;&lt;/li&gt;&lt;li class="MsoNormal" style=""&gt;&lt;a href="http://en.wikipedia.org/wiki/Diazepam" title="Diazepam"&gt;diazepam&lt;/a&gt;      (known under the common name Valium) as a continuous IV infusion,&lt;o:p&gt;&lt;/o:p&gt;&lt;/li&gt;&lt;li class="MsoNormal" style=""&gt;the &lt;a href="http://en.wikipedia.org/wiki/Autonomic_nervous_system" title="Autonomic nervous system"&gt;autonomic&lt;/a&gt; effects of tetanus can be      difficult to manage (alternating hyper- and &lt;a href="http://en.wikipedia.org/wiki/Hypotension" title="Hypotension"&gt;hypotension&lt;/a&gt;,      &lt;a href="http://en.wikipedia.org/wiki/Hyperpyrexia" title="Hyperpyrexia"&gt;hyperpyrexia&lt;/a&gt;/&lt;a href="http://en.wikipedia.org/wiki/Hypothermia" title="Hypothermia"&gt;hypothermia&lt;/a&gt;)      and may require IV &lt;a href="http://en.wikipedia.org/wiki/Labetalol" title="Labetalol"&gt;labetalol&lt;/a&gt;, magnesium, &lt;a href="http://en.wikipedia.org/wiki/Clonidine" title="Clonidine"&gt;clonidine&lt;/a&gt;,      or &lt;a href="http://en.wikipedia.org/wiki/Nifedipine" title="Nifedipine"&gt;nifedipine&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/li&gt;&lt;/ul&gt;  &lt;p&gt;Drugs such as &lt;a href="http://en.wikipedia.org/wiki/Diazepam" title="Diazepam"&gt;diazepam&lt;/a&gt; or other &lt;a href="http://en.wikipedia.org/wiki/Muscle_relaxant" title="Muscle relaxant"&gt;muscle relaxants&lt;/a&gt;&lt;sup&gt;&lt;span title="This claim needs references to reliable sources since August 2008"&gt;[&lt;i&gt;&lt;a href="http://en.wikipedia.org/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"&gt;citation needed&lt;/a&gt;&lt;/i&gt;]&lt;/span&gt;&lt;/sup&gt; can be given to control the muscle spasms. In extreme cases it may be necessary to paralyze the patient with &lt;a href="http://en.wikipedia.org/wiki/Curare" title="Curare"&gt;curare&lt;/a&gt;-like drugs and use a mechanical ventilator.&lt;o:p&gt;&lt;/o:p&gt;&lt;/p&gt;  &lt;p&gt;In order to survive a tetanus infection, the maintenance of an airway and proper &lt;a href="http://en.wikipedia.org/wiki/Nutrition" title="Nutrition"&gt;nutrition&lt;/a&gt; are required. An intake of 3500-4000 Calories, and at least 150g of protein per day, is often given in liquid form through a tube directly into the stomach, or through a drip into a vein. This high-caloric diet maintenance is required because of the increased metabolic strain brought on by the increased muscle activity.&lt;o:p&gt;&lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;&lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/34748886-6115508139778903498?l=nsyendri.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://nsyendri.blogspot.com/feeds/6115508139778903498/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=34748886&amp;postID=6115508139778903498' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/6115508139778903498'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/6115508139778903498'/><link rel='alternate' type='text/html' href='http://nsyendri.blogspot.com/2008/09/tetanus.html' title='Tetanus'/><author><name>Nirwan Satria, M.D</name><uri>http://www.blogger.com/profile/07654391346750418184</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-34748886.post-4367565274382678443</id><published>2008-08-22T20:41:00.000-07:00</published><updated>2008-08-22T21:03:00.250-07:00</updated><title type='text'>Hydrocephalus</title><content type='html'>&lt;a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://1.bp.blogspot.com/_HZBkszjwH6Y/SK-JEebyNbI/AAAAAAAAAAQ/PTjDGSWYUWQ/s1600-h/hydrocefalus.jpg"&gt;&lt;img style="margin: 0px auto 10px; display: block; text-align: center; cursor: pointer;" src="http://1.bp.blogspot.com/_HZBkszjwH6Y/SK-JEebyNbI/AAAAAAAAAAQ/PTjDGSWYUWQ/s400/hydrocefalus.jpg" alt="" id="BLOGGER_PHOTO_ID_5237555601637258674" border="0" /&gt;&lt;/a&gt;&lt;br /&gt;&lt;p class="MsoNormal" style=""&gt;&lt;span style="font-weight: bold;font-family:Verdana;" &gt;Hydrocephalus&lt;/span&gt;&lt;span style="font-family:Verdana;"&gt; is the abnormal enlargement of the brain cavities (ventricles) caused by a build-up of cerebrospinal fluid (CSF). Usually, the body maintains a constant circulation and absorption of CSF. Untreated, hydrocephalus can result in brain damage or death. There is no cure, but hydrocephalus can be managed with surgery.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:Verdana;"&gt;Cerebrospinal fluid (CSF) is a clear fluid that is made and absorbed by the brain. CSF circulates through the cerebroventricular (brain cavity) system and then through the subarachnoid space that surrounds the brain and spinal cord. It serves to protect and nourish the brain and spinal cord.&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;b&gt;&lt;span style=";font-family:Verdana-Bold;font-size:14;"  &gt;Symptoms&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;    &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:Verdana;"&gt;&lt;o:p&gt; &lt;/o:p&gt;Hydrocephalus sometimes has no symptoms (it is asymptomatic). When symptoms occur, they can include:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;span style="font-family:Verdana;"&gt;Difficulty in walking&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;span style="font-family:Verdana;"&gt;Incontinence&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;span style="font-family:Verdana;"&gt;Memory problems&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;span style="font-family:Verdana;"&gt;Headache&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;span style="font-family:Verdana;"&gt;Nausea and vomiting&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;span style="font-family:Verdana;"&gt;Loss of consciousness&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;span style="font-family:Verdana;"&gt;Vision problems&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;span style="font-family:Verdana;"&gt;Hearing sensitivities&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;span style="font-family:Verdana;"&gt;Seizures&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;span style="font-family:Verdana;"&gt;Enlarged skull (infants).&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;b&gt;&lt;span style=";font-family:Verdana-Bold;font-size:14;"  &gt;&lt;br /&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;&lt;p class="MsoNormal" style=""&gt;&lt;b&gt;&lt;span style=";font-family:Verdana-Bold;font-size:14;"  &gt;The movement of cerebrospinal fluid&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;      &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:Verdana;"&gt;&lt;o:p&gt; &lt;/o:p&gt;The brain contains cavities called ventricles. Cerebrospinal fluid is made in the ventricles, then&lt;o:p&gt;&lt;/o:p&gt; flows down channels through the brain and exits near the base of the skull. The fluid then moves to the surface of the brain and spinal cord and is absorbed just below the top of the skull.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:Verdana;"&gt;If the movement of CSF is hampered along any point of this journey, the fluid will build up behind the blockage. The ventricles enlarge with fluid and pressure rises inside the skull (intracranial pressure).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;    &lt;p class="MsoNormal" style=""&gt;&lt;b&gt;&lt;span style=";font-family:Verdana-Bold;font-size:14;"  &gt;A range of causes&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:Verdana;"&gt;Hydrocephalus can be caused by problems with CSF secretion, CSF flow or CSF absorption. The&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:Verdana;"&gt;different categories of hydrocephalus include:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;b&gt;&lt;span style="font-family:Verdana-Bold;"&gt;Congenital hydrocephalus &lt;/span&gt;&lt;/b&gt;&lt;span style="font-family:Verdana;"&gt;– is present from birth and is associated with other birth&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:Verdana;"&gt;defects such as spina bifida and Dandy-Walker syndrome.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;    &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;b&gt;&lt;span style="font-family:Verdana-Bold;"&gt;Acquired hydrocephalus &lt;/span&gt;&lt;/b&gt;&lt;span style="font-family:Verdana;"&gt;– can be triggered by tumours, infection or bleeding within the&lt;o:p&gt;&lt;/o:p&gt; brain that blocks the movement or absorption of CSF.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;b&gt;&lt;span style="font-family:Verdana-Bold;"&gt;Normal pressure hydrocephalus &lt;/span&gt;&lt;/b&gt;&lt;span style="font-family:Verdana;"&gt;– older people are more commonly affected. Generally,&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:Verdana;"&gt;CSF outflow over the surface of the brain is reduced, for unknown reasons.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;    &lt;p class="MsoNormal" style=""&gt;&lt;b&gt;&lt;span style=";font-family:Verdana-Bold;font-size:14;"  &gt;Diagnosis methods&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/b&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:Verdana;"&gt;The various tests used to diagnose hydrocephalus include:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;span style="font-family:Verdana;"&gt;Physical examination&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;span style="font-family:Verdana;"&gt;Eye examination&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;span style="font-family:Verdana;"&gt;CT scan&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;span style="font-family:Verdana;"&gt;MRI scan.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;    &lt;p class="MsoNormal" style=""&gt;&lt;b&gt;&lt;span style="font-family:Verdana-Bold;"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;span style=";font-family:Verdana-Bold;font-size:14;"  &gt;Treatment options&lt;/span&gt;&lt;/b&gt;&lt;span style=";font-family:Verdana-Bold;font-size:14;"  &gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:Verdana;"&gt;Treatment depends on the underlying cause, but can include:&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;    &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;b&gt;&lt;span style="font-family:Verdana-Bold;"&gt;Drugs &lt;/span&gt;&lt;/b&gt;&lt;span style="font-family:Verdana;"&gt;– for example, antibiotics are given in the case of infection. Surgery is needed if&lt;o:p&gt;&lt;/o:p&gt; clearing the infection doesn’t resolve the hydrocephalus.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;b&gt;&lt;span style="font-family:Verdana-Bold;"&gt;Surgery &lt;/span&gt;&lt;/b&gt;&lt;span style="font-family:Verdana;"&gt;– the cause of the blockage is surgically removed. In cases of temporary&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;      &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:Verdana;"&gt;hydrocephalus, a small catheter may be inserted to allow the fluid to drain while the&lt;o:p&gt;&lt;/o:p&gt; underlying cause (such as bleeding) has time to resolve. In other cases (such as congenital&lt;o:p&gt;&lt;/o:p&gt; hydrocephalus), a permanent tube (shunt) is inserted to allow the excess CSF to drain out.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;      &lt;p class="MsoNormal" style=""&gt;&lt;span style="font-family:CTBullet;"&gt;• &lt;/span&gt;&lt;b&gt;&lt;span style="font-family:Verdana-Bold;"&gt;Wait and see approach &lt;/span&gt;&lt;/b&gt;&lt;span style="font-family:Verdana;"&gt;– if hydrocephalus is found incidentally (for example, during a CT&lt;o:p&gt;&lt;/o:p&gt; or MRI examination for other reasons) and is not causing any symptoms, no specific&lt;o:p&gt;&lt;/o:p&gt; treatment other than careful review and monitoring by a doctor may be needed.&lt;/span&gt;&lt;/p&gt;(www.betterhealth.vic.gov.au)&lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/34748886-4367565274382678443?l=nsyendri.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://nsyendri.blogspot.com/feeds/4367565274382678443/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=34748886&amp;postID=4367565274382678443' title='1 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/4367565274382678443'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/4367565274382678443'/><link rel='alternate' type='text/html' href='http://nsyendri.blogspot.com/2008/08/hydrocephalus.html' title='Hydrocephalus'/><author><name>Nirwan Satria, M.D</name><uri>http://www.blogger.com/profile/07654391346750418184</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><media:thumbnail xmlns:media='http://search.yahoo.com/mrss/' url='http://1.bp.blogspot.com/_HZBkszjwH6Y/SK-JEebyNbI/AAAAAAAAAAQ/PTjDGSWYUWQ/s72-c/hydrocefalus.jpg' height='72' width='72'/><thr:total>1</thr:total></entry><entry><id>tag:blogger.com,1999:blog-34748886.post-6236825393696186001</id><published>2008-08-16T17:38:00.000-07:00</published><updated>2008-08-16T17:44:26.221-07:00</updated><title type='text'>Kernicterus</title><content type='html'>&lt;a style="font-weight: bold;" name="toca"&gt;What is kernicterus?&lt;/a&gt;&lt;b&gt;&lt;a name="toca"&gt;&lt;br /&gt;&lt;br /&gt;&lt;/a&gt;&lt;/b&gt;&lt;a name="toca"&gt;    Kernicterus is a type of brain damage that causes athetoid cerebral    palsy and hearing loss. It also causes problems with vision and teeth    and sometimes can cause mental retardation. In some newborn babies, the    liver makes too much yellow pigment called bilirubin. When too much    bilirubin builds up in a new baby's body, the skin and whites of the    eyes turn yellow. This yellow coloring is called jaundice. Jaundice is    very common in newborn babies and usually goes away by itself. A little    jaundice is not a problem, but a few babies have too much jaundice. If    not treated, high levels of bilirubin can damage the brain.�&lt;br /&gt;&lt;br /&gt;&lt;/a&gt;&lt;a style="font-weight: bold;" name="tocb"&gt;Who can develop kernicterus?&lt;/a&gt;&lt;b&gt;&lt;a name="tocb"&gt;&lt;br /&gt;&lt;br /&gt;&lt;/a&gt;&lt;/b&gt;&lt;a name="tocb"&gt;Any baby with untreated jaundice is at risk for kernicterus. This    does not mean that every baby with yellow skin will have brain damage.    Most babies with jaundice get better by themselves. If their skin is    very yellow, they might need phototherapy treatment. If phototherapy    does not lower the baby's bilirubin levels, the baby may need an    exchange transfusion.&lt;br /&gt;&lt;br /&gt;&lt;/a&gt;&lt;a style="font-weight: bold;" name="toce"&gt;What are some warning signs of kernicterus?&lt;br /&gt;&lt;br /&gt;&lt;/a&gt;&lt;ul&gt;&lt;li&gt;Very yellow or orange skin tones (beginning at the    head and spreading to the toes)     &lt;/li&gt;&lt;li&gt;Increased sleepiness, so much that it is hard to wake    the baby     &lt;/li&gt;&lt;li&gt;The baby is not as alert and awake     &lt;/li&gt;&lt;li&gt;High-pitched cry     &lt;/li&gt;&lt;li&gt;Poor sucking or nursing     &lt;/li&gt;&lt;li&gt;Weakness, limpness, or floppiness     &lt;/li&gt;&lt;li&gt;The baby's body is arched like a bow (the head and heels are bent     backward and the body forward)    (www.cdc.gov)&lt;br /&gt;&lt;/li&gt;&lt;/ul&gt;&lt;br /&gt;&lt;a name="toca"&gt;&lt;/a&gt;&lt;a name="tocb"&gt;&lt;/a&gt;&lt;a style="font-weight: bold;" name="toce"&gt;&lt;br /&gt;&lt;/a&gt;&lt;b&gt;&lt;a name="toce"&gt;&lt;br /&gt;&lt;br /&gt;&lt;/a&gt;&lt;/b&gt;&lt;br /&gt;&lt;b&gt;&lt;a name="tocb"&gt;&lt;/a&gt;&lt;/b&gt;&lt;b&gt;&lt;a name="toca"&gt;&lt;/a&gt;&lt;/b&gt;&lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/34748886-6236825393696186001?l=nsyendri.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://nsyendri.blogspot.com/feeds/6236825393696186001/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=34748886&amp;postID=6236825393696186001' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/6236825393696186001'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/6236825393696186001'/><link rel='alternate' type='text/html' href='http://nsyendri.blogspot.com/2008/08/kernicterus.html' title='Kernicterus'/><author><name>Nirwan Satria, M.D</name><uri>http://www.blogger.com/profile/07654391346750418184</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-34748886.post-7097069909193593010</id><published>2008-08-15T14:25:00.000-07:00</published><updated>2008-08-15T14:31:52.717-07:00</updated><title type='text'>New advances in prevention of asthma and allergy in children</title><content type='html'>&lt;span style="font-size:100%;"&gt;&lt;em&gt;&lt;span style="font-size:130%;"&gt;&lt;span style="font-weight: bold;"&gt;Respiratory infections&lt;/span&gt;&lt;/span&gt;&lt;br /&gt;&lt;/em&gt;&lt;/span&gt;&lt;span style="font-size:100%;"&gt;    There may be a link,         not yet firmly established, between bacterial infection in early childhood and the         prevention of allergy and asthma later in childhood.  This is suggested by the         finding that children growing up with limited access to antibiotics have less allergic         disease.  Extensive exposure to animals in infancy also appears to be beneficial,         suggesting that certain bacterial infections or bacterial products such as endotoxin can         prevent the tendency of the immune system to produce allergic responses.  This         research does NOT mean that serious bacterial infection in children should go untreated!&lt;br /&gt;&lt;br /&gt;&lt;/span&gt;&lt;span style="font-weight: bold;font-size:130%;" &gt;&lt;em&gt;Fish oil&lt;/em&gt;&lt;br /&gt;&lt;/span&gt;&lt;span style="font-size:100%;"&gt;    There is some evidence that         asthma occurs more often in children who rarely eat fish, possibly because of inadequate         omega 3 fatty acids in the diet.&lt;br /&gt;&lt;br /&gt;&lt;/span&gt;&lt;span style="font-weight: bold;font-size:130%;" &gt;&lt;em&gt;Early allergy injection treatment&lt;br /&gt;&lt;/em&gt;&lt;/span&gt;&lt;span style="font-size:100%;"&gt;    Two studies         in young children who became allergic to a single allergen such as house dust mites showed         that allergy shots against that allergen prevented the development of allergy to other         allergens.  This suggests that allergy testing and injection treatment in children         may be important to consider before the time when this is usually first done - i.e., under         age 5 years.  The cost-effectiveness of doing this is unknown at present.&lt;/span&gt;&lt;br /&gt;&lt;span style="font-size:100%;"&gt;&lt;br /&gt;&lt;br /&gt;&lt;/span&gt;&lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/34748886-7097069909193593010?l=nsyendri.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://nsyendri.blogspot.com/feeds/7097069909193593010/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=34748886&amp;postID=7097069909193593010' title='1 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/7097069909193593010'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/7097069909193593010'/><link rel='alternate' type='text/html' href='http://nsyendri.blogspot.com/2008/08/new-advances-in-prevention-of-asthma.html' title='New advances in prevention of asthma and allergy in children'/><author><name>Nirwan Satria, M.D</name><uri>http://www.blogger.com/profile/07654391346750418184</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>1</thr:total></entry><entry><id>tag:blogger.com,1999:blog-34748886.post-1590835400970280872</id><published>2008-08-10T04:00:00.000-07:00</published><updated>2008-08-10T04:03:44.939-07:00</updated><title type='text'>Asthma</title><content type='html'>&lt;h2&gt; My baby's wheezing. Could she have asthma?&lt;br /&gt;&lt;/h2&gt;&lt;p&gt;                &lt;br /&gt;You may be alarmed if you hear your baby wheezing, but the chances are that it's not asthma. Many young children wheeze when they have an upper respiratory tract infection or a cold.&lt;br /&gt;&lt;br /&gt;Asthma, on the other hand, is an inflammation of the lungs' small breathing tubes (bronchioles). If the wheezing frequently recurs in the absence of a &lt;a href="http://www.babycentre.co.uk/baby/health/commoncold/"&gt;cold&lt;/a&gt;, ask for your GP's opinion. In a child less than a year old, the airways are so small that they can make a wheezing sound which is not true asthma. Wheezing can be quite common in early childhood, and unless the attacks persist past the age of three, most doctors say there's no cause for alarm.&lt;br /&gt;&lt;/p&gt;  &lt;a name="4"&gt;&lt;/a&gt;&lt;h2&gt;What causes asthma?&lt;br /&gt;&lt;/h2&gt;&lt;p&gt;                                     &lt;/p&gt;&lt;div class="medRectangleAd"&gt;              &lt;!-- / $Source: /frag/ad.jhtml $ --&gt;&lt;br /&gt;&lt;!-- / $Source: END /frag/ad.jhtml $ --&gt;         &lt;/div&gt;                                  &lt;br /&gt;Asthma in most children and adults is a reaction to a trigger -- usually tobacco smoke, pet fur, mould spores, dust mites, or pollen (although respiratory infections and exercise in cold air can also trigger an attack). As in other types of &lt;a href="http://www.babycentre.co.uk/baby/health/allergies/"&gt;allergies&lt;/a&gt;, the trigger stimulates IgE antibodies to produce histamine and other chemical mediators. It's the location of the chemical reactions -- in the lungs -- which distinguishes asthma. Chemicals released by the antibodies swell the lung's lining and tighten the muscles of the airway, and they also start producing mucus.&lt;br /&gt; &lt;a name="6"&gt;&lt;/a&gt;&lt;h2&gt;What are the risk factors for asthma?&lt;br /&gt;&lt;/h2&gt;&lt;p&gt;                &lt;br /&gt;A toddler who lives with a parent who smokes is nearly three times as likely to wheeze as a child in a smoke-free home. Genetics play a role, too. Children with an asthmatic parent develop asthma at three to six times the rate of children who don't have asthma in the family. Living in large towns and poor housing conditions seem to make children more vulnerable to the illness, too.&lt;/p&gt;  &lt;a name="8"&gt;&lt;/a&gt;&lt;h2&gt;I've heard asthma's on the rise. Why?&lt;br /&gt;&lt;/h2&gt;&lt;p&gt;                &lt;br /&gt;Asthma is increasing. Ironically, industrialisation, energy-efficient houses, and eradication of many childhood illnesses, such as &lt;a href="http://www.babycentre.co.uk/pregnancy/antenatalhealth/physicalhealth/rubella/"&gt;measles&lt;/a&gt; and &lt;a href="http://www.babycentre.co.uk/pregnancy/antenatalhealth/physicalhealth/rubella/"&gt;mumps&lt;/a&gt;, may be partly to blame. For reasons unknown, asthma isn't much of a problem in pre-industrial societies. But when development moves in, asthma follows.&lt;br /&gt;&lt;br /&gt;According to some experts, we are spending more and more time sealed in energy-efficient houses. Indoor air is ripe with allergens, such as dust mites or pet hair. If children spend much of their time in front of the TV or computer, they spend less time outside in the fresh air. All this seems to have translated to an increase in asthma.&lt;br /&gt;&lt;br /&gt;The ever-ready &lt;a href="http://www.babycentre.co.uk/glossary/i#immune_system" target="_blank"&gt;immune system&lt;/a&gt;, too, which used to marshal its defences against chicken pox and &lt;a href="http://www.babycentre.co.uk/pregnancy/antenatalhealth/physicalhealth/rubella/"&gt;rubella&lt;/a&gt;, now has little more to do than combat an onslaught of dust mites, the microscopic pests whose presence is related to asthma. According to researchers, it may be that this over-enthusiastic immune system responds to an allergen a little too zealously (akin to putting out a match with a hosepipe), which might contribute to asthma as well.&lt;br /&gt;&lt;/p&gt;  &lt;a name="10"&gt;&lt;/a&gt;&lt;h2&gt;Can asthma be cured?&lt;br /&gt;&lt;/h2&gt;&lt;p&gt;                &lt;br /&gt;Asthma is a chronic condition, and there is no known cure. However, asthma can be successfully managed with medicines, and by reducing the exposure to the trigger for the asthma when possible. Many children outgrow asthma, or the severity lessens as they get older. Work with your doctor to find out the best &lt;a href="http://www.babycentre.co.uk/baby/health/asthmatreatment/"&gt;treatment and method to manage your child's asthma&lt;/a&gt;.&lt;/p&gt;&lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/34748886-1590835400970280872?l=nsyendri.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://nsyendri.blogspot.com/feeds/1590835400970280872/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=34748886&amp;postID=1590835400970280872' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/1590835400970280872'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/1590835400970280872'/><link rel='alternate' type='text/html' href='http://nsyendri.blogspot.com/2008/08/asthma.html' title='Asthma'/><author><name>Nirwan Satria, M.D</name><uri>http://www.blogger.com/profile/07654391346750418184</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-34748886.post-7702097146018769182</id><published>2008-08-10T03:56:00.000-07:00</published><updated>2008-08-10T03:58:18.119-07:00</updated><title type='text'>Football and children</title><content type='html'>When we play sports—we have opponents and we practice good behaviour on the playing field and there we find a way to win—but we also have fun. Sports are very important, they help sensitize feelings and through that you can bring about peace. Football is played in fields, in refugee camps, and even amidst situations of war and armed-conflict. Wherever you find children, you will also most likely find football.&lt;span id="more-584"&gt;&lt;/span&gt; &lt;p&gt;Of course football equipment is required by sponsored leagues and schools. Making sure that the equipment fits your child appropriately is of utmost importance. If you want to buy used equipment, be sure to have your child fitted for the right size and then go bargain-hunting.&lt;/p&gt; &lt;p&gt;Here is a list of necessary equipment and equipment that may help prevent injuries.&lt;/p&gt; &lt;p&gt;* Helmet with a face mask&lt;br /&gt;* Protective pads for thighs and hips (can come as a girdle)&lt;br /&gt;* Shoulder pads&lt;br /&gt;* Padded shirt&lt;br /&gt;* Cleats&lt;br /&gt;* Gloves&lt;br /&gt;* Mouth guard&lt;br /&gt;* Leg and ankle braces&lt;br /&gt;* Other equipment that may be suggested by your child’s coach&lt;/p&gt; &lt;p&gt;Kids should listen to their coach at all times. Football rules can be complex and it is important to know the rules in order to help the team and play safe.  Make sure your child understands the rules of the game, what is expected of his position, and ask questions if there is any misunderstanding or confusion.&lt;/p&gt; &lt;p&gt;Most of all, encourage your child to have fun!&lt;/p&gt; &lt;p&gt;It’s hardly controversial to argue that a results-oriented approach at the early ages propagates over-coaching that stifles individual creativity.&lt;/p&gt; &lt;p&gt;But if score lines aren’t what we should use to judge progress at the younger ages, what do we look for? There should be recognition of a kid trying to control a ball, or trying to pass the ball, or trying to make some move, even if it doesn’t work. Instead of valuing the final score, watching individual progress is how to judge development. When a 6- or 7-year-old, for example, begins to look up from the ball, it’s a sign that he’s advancing as a player.&lt;/p&gt; &lt;p&gt;For teams at the older age groups, judging performance beyond trophies is a matter of seeing progress in the different facets of the game.&lt;/p&gt; &lt;p&gt;Clearly, the age of your child is important. Most parents can remain calm watching a high-school age athlete play, sports, because they know that the athlete is old enough to handle difficult situations themselves. On the other hand, watching a young child play sports brings out all our natural urges to protect and nurture our offspring. Too often, the problem in youth sports is not crazy, out-of-control parents, but the fact that we put children in very competitive situations at too young an age.&lt;/p&gt; &lt;p&gt;Competitive sports programs are a big part of the growing-up experience for many children. But as parents, we should not accept current sports programs as being “best” for our children without examining the effect they have on our lives. There is lots of room for improvement.&lt;/p&gt; &lt;p&gt;If children are not learning and improving their skills, it can’t be fun. If it isn’t fun, children won’t want to come back to play soccer. So be prepared, know the game and the proper skill progressions, and provide the child with numerous opportunities to explore and discover through active participation.&lt;/p&gt;&lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/34748886-7702097146018769182?l=nsyendri.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://nsyendri.blogspot.com/feeds/7702097146018769182/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=34748886&amp;postID=7702097146018769182' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/7702097146018769182'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/7702097146018769182'/><link rel='alternate' type='text/html' href='http://nsyendri.blogspot.com/2008/08/football-and-children.html' title='Football and children'/><author><name>Nirwan Satria, M.D</name><uri>http://www.blogger.com/profile/07654391346750418184</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-34748886.post-116158867240232793</id><published>2006-10-23T00:14:00.000-07:00</published><updated>2006-10-23T00:31:12.826-07:00</updated><title type='text'>Books and Babies</title><content type='html'>&lt;span style="font-size:130%;color:#6633ff;"&gt;Books and Babies&lt;br /&gt;&lt;/span&gt;&lt;br /&gt;&lt;span style="font-size:85%;"&gt;Babies love to listen to the human voice. What better way&lt;br /&gt;than through reading!&lt;br /&gt;What you'll need&lt;br /&gt;Some baby books (books made of cardboard or cloth with flaps to&lt;br /&gt;lift and holes to peek through)&lt;br /&gt;&lt;/span&gt;&lt;br /&gt;&lt;span style="font-size:85%;"&gt;What to do&lt;br /&gt;&lt;/span&gt;&lt;br /&gt;&lt;span style="font-size:85%;"&gt;1. Start out by singing lullabies and folk songs to your&lt;br /&gt;baby. At around 6 months, look for books with brightly&lt;br /&gt;colored, simple pictures and lots of rhythm. (Mother Goose&lt;br /&gt;is perfect.) At around 9 months, include books that&lt;br /&gt;feature pictures and names of familiar objects.&lt;br /&gt;&lt;/span&gt;&lt;br /&gt;&lt;span style="font-size:85%;"&gt;2. As you read, point out objects in the pictures and make&lt;br /&gt;sure your baby sees all the things that are fun to do with&lt;br /&gt;books. (Pat the Bunny by Dorothy Kunhardt is a classic&lt;br /&gt;touch-and-feel book for babies.)&lt;br /&gt;&lt;/span&gt;&lt;br /&gt;&lt;span style="font-size:85%;"&gt;3. Vary the tone of your voice, sing nursery rhymes, bounce&lt;br /&gt;your knee, make funny faces, do whatever special effects&lt;br /&gt;you can to stimulate your baby's interest. &lt;/span&gt;&lt;br /&gt;&lt;span style="font-size:85%;"&gt;&lt;/span&gt;&lt;br /&gt;&lt;span style="font-size:85%;"&gt;4. Allow your child to touch and hold cloth and sturdy&lt;br /&gt;cardboard books.&lt;br /&gt;&lt;/span&gt;&lt;br /&gt;&lt;span style="font-size:85%;"&gt;5. When reading to a baby, be brief but read often. &lt;/span&gt;&lt;br /&gt;&lt;span style="font-size:85%;"&gt;&lt;/span&gt;&lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/34748886-116158867240232793?l=nsyendri.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://nsyendri.blogspot.com/feeds/116158867240232793/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=34748886&amp;postID=116158867240232793' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/116158867240232793'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/116158867240232793'/><link rel='alternate' type='text/html' href='http://nsyendri.blogspot.com/2006/10/books-and-babies.html' title='Books and Babies'/><author><name>Nirwan Satria, M.D</name><uri>http://www.blogger.com/profile/07654391346750418184</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-34748886.post-116084641503627063</id><published>2006-10-14T10:17:00.000-07:00</published><updated>2006-10-14T10:25:05.283-07:00</updated><title type='text'>Baby Health Tips</title><content type='html'>&lt;span style="font-size:130%;color:#330033;"&gt;&lt;strong&gt;Nirwan Satria M.D&lt;/strong&gt;&lt;/span&gt;&lt;br /&gt;&lt;span style="font-size:130%;color:#3333ff;"&gt;&lt;/span&gt;&lt;br /&gt;&lt;span style="font-size:130%;color:#3333ff;"&gt;Jaundice in the New-born Baby&lt;/span&gt;.&lt;br /&gt;&lt;br /&gt;Do not be alarmed if the whites of your baby's eyes and their skin turns a slight yellow colour after 3 days. This is a condition called jaundice and is caused because your baby's liver cannot work fast enough to dispose of a pigment called bilirubin. Premature babies are more likely to suffer from jaundice.It usually clears up after a few days and this can be aided by exposure to sunlight (through a window).You may also be encouraged to feed your baby as often as possible. Sometimes when the bilirubin levels are very high a baby may need to be exposed to controlled amounts of ultra violet light in the form of phototherapy. Ultra violet breaks down the pigment levels in the skin. This will be carried out in hospital. Your baby will be placed in a special crib sometimes in Special Care. This is a routine treatment and is very effective.&lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/34748886-116084641503627063?l=nsyendri.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://nsyendri.blogspot.com/feeds/116084641503627063/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=34748886&amp;postID=116084641503627063' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/116084641503627063'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/116084641503627063'/><link rel='alternate' type='text/html' href='http://nsyendri.blogspot.com/2006/10/baby-health-tips.html' title='Baby Health Tips'/><author><name>Nirwan Satria, M.D</name><uri>http://www.blogger.com/profile/07654391346750418184</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-34748886.post-116084603223038442</id><published>2006-10-14T10:10:00.000-07:00</published><updated>2006-10-14T10:13:52.243-07:00</updated><title type='text'>Childhood Nutrition</title><content type='html'>&lt;strong&gt;Nirwan Satria M.D&lt;/strong&gt;&lt;br /&gt;&lt;strong&gt;&lt;br /&gt;&lt;/strong&gt;&lt;span style="font-size:130%;color:#3366ff;"&gt;Childhood Nutrition&lt;/span&gt;&lt;br /&gt;&lt;br /&gt;&lt;/strong&gt;Your child's nutrition is important to her overall health. Proper nutrition can also prevent many medical problems, including becoming overweight, developing weak bones, and developing diabetes. It will also ensure that your child physically grows to her full potential.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;You can also help promote good nutrition by setting a good example. Healthy eating habits and regular exercise should be a regular part of your family's life. It is much easier if everyone in the house follows these guidelines, than if your child has to do it alone. You should also buy low-calorie and low-fat meals, snacks and desserts, low fat or skim milk and diet drinks. Avoid buying high calorie desserts or snacks, such as snack chips, regular soft drinks or regular ice cream.&lt;br /&gt;The best nutrition advice to keep your children healthy includes encouraging her to:&lt;br /&gt;Eat a variety of foods&lt;br /&gt;Balance the food you eat with physical activity&lt;br /&gt;Choose a diet with plenty of grain products, vegetables and fruits&lt;br /&gt;Choose a diet low in fat, saturated fat, and cholesterol&lt;br /&gt;Choose a diet moderate in sugars and salt&lt;br /&gt;Choose a diet that provides enough calcium and iron to meet their growing body's requirements.&lt;br /&gt;The Food Guide Pyramid was designed by the US Dept. of Agriculture to promote healthy nutrition in children over two years of age. It is meant to be a general guide to daily food choices. The main emphasis of the Food Guide Pyramid is on the five major food groups, all of which are required for good health. It also emphasizes that foods that include a lot of fats, oils and sweets should be used very sparingly.&lt;br /&gt;You can also help to provide your family with a healthy diet by learning to read nutrition labels on the foods your family eats.&lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/34748886-116084603223038442?l=nsyendri.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://nsyendri.blogspot.com/feeds/116084603223038442/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=34748886&amp;postID=116084603223038442' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/116084603223038442'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/116084603223038442'/><link rel='alternate' type='text/html' href='http://nsyendri.blogspot.com/2006/10/childhood-nutrition.html' title='Childhood Nutrition'/><author><name>Nirwan Satria, M.D</name><uri>http://www.blogger.com/profile/07654391346750418184</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-34748886.post-115903997814391227</id><published>2006-09-23T12:16:00.000-07:00</published><updated>2008-08-16T18:42:26.909-07:00</updated><title type='text'>Breastfeeding Tips</title><content type='html'>&lt;div align="justify"&gt;&lt;span style="color: rgb(51, 204, 0);"&gt;&lt;/span&gt;&lt;/div&gt;&lt;div align="justify"&gt;Buy a tube of Lansinoh to help prevent sore nipples and take it to the hospital with ou. Don't wait until you are in pain to send someone out to buy it. It is a specific form of ultra purified lanolin which is soothing to the nipples and healing if damage has already occured&lt;/div&gt;&lt;div align="justify"&gt;&lt;/div&gt;&lt;div align="justify"&gt;Make sure baby opens his mouth widw to latch. Don't allow him to suck on just 'tip' the nipple. Proper latch on will eliminate much of the pain and soreness often associated with breastfeeding and it will aloow the baby to get milk more easily&lt;/div&gt;&lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/34748886-115903997814391227?l=nsyendri.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://nsyendri.blogspot.com/feeds/115903997814391227/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=34748886&amp;postID=115903997814391227' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/115903997814391227'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/115903997814391227'/><link rel='alternate' type='text/html' href='http://nsyendri.blogspot.com/2006/09/breastfeeding-tips.html' title='Breastfeeding Tips'/><author><name>Nirwan Satria, M.D</name><uri>http://www.blogger.com/profile/07654391346750418184</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-34748886.post-115876579920976436</id><published>2006-09-20T08:18:00.000-07:00</published><updated>2008-08-16T18:39:44.242-07:00</updated><title type='text'>CHILDREN, DIET AND GENETICS</title><content type='html'>&lt;div align="justify"&gt;&lt;span style="color: rgb(51, 51, 255);font-size:180%;" &gt;&lt;br /&gt;&lt;/span&gt;&lt;/div&gt;&lt;div align="justify"&gt; &lt;/div&gt;&lt;div align="justify"&gt;&lt;span style="font-size:130%;"&gt;    Your body is a living, dynamic, functioning and reacting machine. It is influenced by everything which comes into contact with it. The internal systems are very precision oriented and depend on a constant state of function to perform. When a woman conceives a child, the cells which will later become her child, are constantly affected by what is in her blood supply. The development of the fetus depends completely on what the mother's body supplies. The father's body, although not nearly as important to the development as the mother's, nevertheless CAN affect the beginning, and therefore, the ultimate outcome of the child.&lt;br /&gt;His body, his cells and his health and diet can and DO affect the development of sperm. Remember what we said about rapidly dividing and growing cells? This is one of the few places that is constantly renewing cells like no other in the body. To believe that a man is free to eat as he pleases, without any regard to offspring is foolishness and selfishness. All it takes is one minor variation in the normal genetic makeup of that sperm cell which penetrates the egg. Anything from a miscarriage to deformities can and do occur.&lt;br /&gt;    Genetics and genetic research will prove to be a hot item for the rest of the 90's, you can be sure. Science has the vision that if only the blueprints of life could be understood, man would finally have what they feel would be "ultimate" control over health and disease and life itself. Genetic research is gaining momentum as well as funding from a variety of sources. The excitement seems to be contagious. It's not hard to understand why.&lt;br /&gt;    Anyone who happens to see, or who may even have someone close to them, crippled by some genetic flaw, longs to see science reach the point of being able to correct the problem. Bear with me as I give a brief description of what genes do.&lt;br /&gt;Real genetic research is fairly young. What we know is nothing compared to what we have yet to learn. However, what we are discovering is full of surprises. For instance, genetic researchers have recently discovered that the apparent useful information necessary for genes to do their work of producing, say, proteins, accounts for only about 10% of the actual genetic material. The remaining 90% is composed of "useless" information. This has researchers very surprised.&lt;/span&gt;&lt;/div&gt;&lt;div align="justify"&gt;&lt;span style="font-size:130%;"&gt;You see, in the example of protein synthesis, there is a "cut and splice" procedure which occurs as the gene produces the protein. The parts which are junk are cut out by enzymes and the useful ends are put back together by enzymes. From an efficiency standpoint, this is disastrous, especially if any one of the cut and splice occurrences is messed up. In other words, a mutation could occur in the process.&lt;br /&gt;From a health standpoint, we should look carefully at this process and consider some possible causes of adverse genetic involvement. Think for a moment of all the ways in which man is affecting this world. Not a day goes by when we don't hear something or another about the environment, diet, health, chemical pollution of water, air and land.&lt;br /&gt;Keeping in mind the above research findings, is it difficult to believe that the extent of chemical pollution in air, water and food, and the processing of food, could be having an affect on the human genetic pool? Could there be a correlation between a gene's work and things such as arteriosclerosis, diabetes, cancer or a host of other disease processes?&lt;br /&gt;The enzymes used in the gene's work in and of themselves are likely candidates for problems. It doesn't take much at all for an enzyme to be rendered useless. Toxic buildup of substances the body normally can get ride of can cause BIG problems.&lt;br /&gt;When you consider that at any point along the genetic construction process, if something goes wrong, there could be abnormal proteins, tissues and cells being produced. When you consider the number of genes and the amount of work they do, we are talking about millions of possible chances for problems.&lt;br /&gt;You may be wondering why we don't have disasters occurring all the time. In a normal healthy individual there are physiological mechanisms which can take care of such things as faulty cells. The body can take care of these guys and that is the end of the matter.&lt;br /&gt;However, when there is something creating an interference with that process, there will eventually be a breakdown in the system. The very same foreign substances interfering with a gene's work could cause interference with other physiological mechanisms which would normally be able to correct the problem. You can see how there could be an intimate relationship between our health habits, pollution and sickness and disease, and how our genes could be involved.&lt;br /&gt;When you add the fact that any human body which doesn't have the proper nutrients and raw materials to repair, replace and defend itself, you end up with a recipe for breakdown. We have to look at the whole picture and consider ALL the factors which could contribute to the problems we see.&lt;br /&gt;There is a lot of good genetic research could do as long as we realize WHY we are doing it. To use it as a tool to correct existing problems and get us back on track is a good one. To view genetic knowledge as the way to get around having to follow good health habits or to justify our continuing to pollute the environment, we are missing the point by a mile. Gene manipulation will never be the "cure-all, make life easy" some hope it will be.&lt;br /&gt;Treating the genes as the "bad guy," as if the GENES were somehow faulty in and of themselves is backward thinking. Something has to CAUSE the gene to do what it does. Diet, health habits and pollution may well prove to be a leading cause of genetic mutations.&lt;br /&gt;Yes, it will be great to see genetic research help the thousands of people who are in need of such help, but unless we keep in mind cause and effect, we are simply postponing more trouble. Genetic research has a good side and an ugly side. It isn't an opportunity to escape laws at work in the natural world.&lt;br /&gt;An entire book could be written on the possible bad uses for genetic information, some of which is already being experimented with. We aren't above the system, we are a part of the system. If we wrongly manipulate the blueprint of ALL life, we could be sowing the seeds for... well, think about it.&lt;br /&gt;Let's think for a moment, not about the sorrowful and heart rending major deformities which most of us are aware of in newborn children, but about possible very minor deformities which could occur from life style, diet and environment. What of intelligence? How about the countless elements which make up personality, talents, potential? How are we placing a burden on our own children by what we ourselves do as, not only parents, but as people before being parents? We will be extremely foolish to ignore the warning signs.&lt;br /&gt;The traditional childhood diet is grossly deviated from a natural normal. They, and we, are paying the price. If children can't perform in school as expected, they will obviously become discouraged and frustrated. They will drop out because they aren't able to perform. This affects all of us.&lt;/span&gt;&lt;/div&gt;&lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/34748886-115876579920976436?l=nsyendri.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://nsyendri.blogspot.com/feeds/115876579920976436/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=34748886&amp;postID=115876579920976436' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/115876579920976436'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/34748886/posts/default/115876579920976436'/><link rel='alternate' type='text/html' href='http://nsyendri.blogspot.com/2006/09/children-diet-and-genetics.html' title='CHILDREN, DIET AND GENETICS'/><author><name>Nirwan Satria, M.D</name><uri>http://www.blogger.com/profile/07654391346750418184</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry></feed>
