Friday, May 20, 2005
Saturday, May 14, 2005
nootropil syrup
Nootropil(piracetam) can be used to treat dyslexic children.
well, the 20% notropil (cost RM80) 4mls twice a day can be used to treat cognitive impairment in children
study from Van Hout % Giurgea concluded that " nootropil (piracetam) may also have a specific effect on some separate circuits of the left hemisphere and especially those functional aspects implied in reading and verbal memory"
So, gonna try it?
well, the 20% notropil (cost RM80) 4mls twice a day can be used to treat cognitive impairment in children
study from Van Hout % Giurgea concluded that " nootropil (piracetam) may also have a specific effect on some separate circuits of the left hemisphere and especially those functional aspects implied in reading and verbal memory"
So, gonna try it?
Tuesday, May 10, 2005
sexual abuse
Have u ever thought of seeing a 7 year old girl with possible sexual abuse.
i have seen one today.
How would you voice this possibility to the parents?
What is the ethical issue and implications involved?
This are the few important question needed to be answered.
Signs of sexual abuse in children
1. repeated episode of urinary tract infections.
2. introitus gaping on abducting the thing.
3. unreasonal sexual acts.
4. rounded hymen. examined for old tear. etc.
i have seen one today.
How would you voice this possibility to the parents?
What is the ethical issue and implications involved?
This are the few important question needed to be answered.
Signs of sexual abuse in children
1. repeated episode of urinary tract infections.
2. introitus gaping on abducting the thing.
3. unreasonal sexual acts.
4. rounded hymen. examined for old tear. etc.
Wednesday, May 04, 2005
polio and BMW 3 series
“Well, just heard the medical news that the polio virus had attacked Indonesia Java.
The polio was last heard in Nigeria 2003 and now it is seen in Indonesia.
The 18month old baby had been paralysed due to that.”
In fact, I am using injectable polio vaccine now adays.
Also test drive a new BMW 3 series , it is a new experience in driving. May be I will get one soon.
May my wish come true.
:P
The polio was last heard in Nigeria 2003 and now it is seen in Indonesia.
The 18month old baby had been paralysed due to that.”
In fact, I am using injectable polio vaccine now adays.
Also test drive a new BMW 3 series , it is a new experience in driving. May be I will get one soon.
May my wish come true.
:P
Tuesday, May 03, 2005
Children with high feve
Rule no 1: Don't be panic
Rule no 2: Treat fever with syrup paracetmol 15mg/kg/dose
Rule no 3: If within one hour fever still spiking, >38oC, I would recommend voren suppository according to body weight.
Cataflam oral drops (weight /4) drops 6 – 8 hourly is equally effective,
Rule no 4: Tepid sponging using towel and cold water.
Wear thin shirts (not long sleeves).
In the event if the first antibiotics is not working, for example, rocephin (50mg/kg/dose), and it had been used for 2 days, the child still having fever, do consider possibility of resistance, (beta lactamases inhibitor ).
I would recommend switching to IV sulperazone or iv Tienam.
Rule no 2: Treat fever with syrup paracetmol 15mg/kg/dose
Rule no 3: If within one hour fever still spiking, >38oC, I would recommend voren suppository according to body weight.
Cataflam oral drops (weight /4) drops 6 – 8 hourly is equally effective,
Rule no 4: Tepid sponging using towel and cold water.
Wear thin shirts (not long sleeves).
In the event if the first antibiotics is not working, for example, rocephin (50mg/kg/dose), and it had been used for 2 days, the child still having fever, do consider possibility of resistance, (beta lactamases inhibitor ).
I would recommend switching to IV sulperazone or iv Tienam.
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