Flash News

Why Childhood Friendships Change Over Time

Why Childhood Friendships Change Over Time

 "Childhood friendships are magical, but not all of them stand the test of time."

1. Life Takes Us in Different Directions

As we grow older, education, careers, relationships, and responsibilities pull us in various directions...

2. Change in Interests and Values

What bonded us in childhood may not matter anymore. Hobbies, goals, and even personality traits evolve...

3. Don’t Feel Guilty for Drifting Apart
Friendships are meant to be mutual. If maintaining them feels like an obligation, it might be time to reassess...

4. Moving On is Healthy

It’s okay to let go. Cherish the memories, but focus on friendships that uplift you today.

Conclusion:

Friendships change, and that’s natural. Be grateful for the past, and embrace the growth that life brings.

Preterm Birth Classification, Causes, Problems,

Preterm Birth

Preterm birth is defined as birth which occurs before 37 completed weeks of pregnancy. It is the number one cause of newborn deaths and the second leading cause of deaths in children under five.

Classification

The WHO gives the following definitions for the different stages of preterm birth:

  • Extremely preterm – babies born less than 28 weeks of pregnancy

  • Very preterm – from 28 to 32 weeks

  • Moderate to late preterm – from 32 to 37 weeks

Causes of preterm births

  • Infection

  • Pre-eclampsia

  • Gestational diabetes

  • Problems with the cervix

  • Multiple pregnancies

  • Lifestyle factors

Waters breaking early Problems with the placenta Problems with the womb

Source: Dr Ashok Gawdi, Consultant (Paediatric and Neonatology), Fortis Hiranandani in Vashi, Mumbai

Five countries with the greatest number of preterm births

  • Almost half of all preterm births in 2020 occurred in just five countries, as reported by WHO/UNICEF:

    1. India – 3.02 million preterm births (≈ 23 % of global total)

    2. Pakistan – over 750,000

    3. Nigeria – over 750,000

    4. China – over 750,000

    5. Ethiopia – included

You are more likely to go into premature labour if:

  • This is your first baby

  • You are pregnant with twins, triplets or other multiples

  • You have had a cervical trauma, such as treatment for an abnormal smear test

  • Your stomach has been injured

  • You are under 17 or over 35

  • IVF conception

Problems faced by premature babies:

  • Respiratory difficulty due to immature lung causing Hyaline Membrane Disease

  • Apnoea, due to poor respiratory drive, where the baby fails to breathe

  • Bleeding disorders causing intra-ventricular bleed in brain

  • Sepsis or infection due to poor immune system

  • Immature stomach and intestine making feeding difficult and thus requiring intravenous nutrition




End of LifeCare

 END OF LIFECARE

Period of time marked by disability or disease that is progressively worse until death.

  1. We have to consider him/her as a human.

  2. Keep good hygiene (Care of skin, back, nail etc…..).

  3. Providing good nutrition/If needed provide parental nutrition.

  4. Medication administration, follow 6 Rights.

  5. Give psychological support.

  6. Spiritual support. (According to their needs)

  7. Providing appropriate Pain and Palliative Care.

  8. Daily mouth care and morning bath.

  9. Counseling of the patient and attenders.

  10. Avoid noisy atmosphere.


Cpap Mask

Cpap Mask





 

Fruits

Fruits 






 

Sateesh Chennaboina, Best Dialysis Technician in Khammam, Telangana - Pulse Dialysis Center

 Sateesh Chennaboina, Best Dialysis Technician in Khammam, Telangana - Pulse Dialysis Center

Sateesh Chennaboina, 

Best Dialysis Technician in Khammam

Sr. Dialysis Technician & Head of Dialysis 

Contact : 9666499919

Specality : Dialysis Technician

Qualification : Dialysis Technician

Experiance : 10 plus Years of experiance

Location : 

Pulse Dialysis Center, 
Wyra Road,
Nehru Nagar, 
Khammam,
Telangana.

Best Dialysis Technician in Khammam

Sateesh Chennaboina hands of experience in Dialysis who works at Pulse Dialysis Center, Wyra Road, Nehru Nagar, Khammam, Telangana, India. With more than 10 years of experience in fied of dialysis is high regarded as the best dialysis Technician in Khammam.

Fields of Expertise : 

Sateesh Chennaboina, is the best dialysis technician in Khammam, specializes in the dialysis.


Case-01 : Case Study on Hypothyroidism

 Case-01 : Case Study on Hypothyroidism

Introduction to Hypothyroidism

Hypothyroidism is a condition where the thyroid gland doesn't produce enough thyroid hormones. These hormones are crucial for regulating metabolism, energy production, and many body systems.

Specialist : Endocrinologist

Patient Details :

  1. Name : 
  2. Age : 
  3. Gender : 
  4. Occupation : 
  5. Height :
  6. Weight : 

Present Complaints : 

  • Headache
  • Cold to intolerance
  • Dry skin
  • Weight gain
  • having Hypothyroidism since 6 years and using the tablets levothyroxine 100mcg

Past Medical History :

  • History of thyroid disorder in the family

Physical Examination : 

  • Vital Signs : Normal
  • puffy face 
  • dry skin
  • No visibility of thyroid gland

Investigations : 

Thyoid Stimulating Hormone ( TSH )

Diagnosis :

Hypothyroidism : indicated by high TSH, low T4.

Treatment Plan :

Levothyroxine 137mcg tablet orally once a daily for 60 days 

Education :

  • Stress Management
  • Regular exercise
  • Low calorie foods
  • High fiber diet

Diet advise : 

  • Avoid deep fried foods
  • Avoid cold and frozen items.
  • Consume less sugar foods.
  • Consume zera water to increase BMR rate
  • Avoid cabbage

Follow up : 

  • Next consultation after 2 monts with TSH report

References : 

1. American Association of Thyroid

2. Mayo Clinic 

3. Harrisons Principles of Internal Medicine





Pregnancy Workouts

Pregnancy Workouts

That exercise is vital to a pregnant woman’s health is now a well-recognised fact. Good muscle tone, healthy joints and general fitness help carry the pregnancy, ease labour and maintain good post-natal health.

Your doctor can provide exercise guidelines based on your medical history and level of risk.

Benefits of Exercise

  • Promotes muscle tone, strength and endurance

  • Improves posture

  • Improves emotional health

  • Helps you sleep better

  • Prevents backaches

  • Keeps you active and energised

  • May prevent gestational diabetes

  • Helps quick recovery from labour and delivery

EXERCISES YOU CAN DO

SHOULDER ROTATION

Shrug your shoulder upwards, hold for a few seconds and then relax.
Bring your shoulders forward and then rotate them up towards your ears and then back down. This is like making small circles with your shoulder in both clockwise and anti-clockwise directions.

NECK EXERCISE

Gentle relaxing neck movements are important. Sit in a relaxed position.
Now, move your neck up, down and to the left and right.

BREATHING EXERCISES

These help you relax and, in some cases, lower your blood pressure. During pregnancy, deep breathing exercises help your circulatory system work more effectively, which can help your body manage swelling and congestion.

DEEP BREATHING

Sit in a comfortable, supported position. Now, place one hand on your abdomen and inhale deeply through your nose, fully into your abdomen. In case you have nasal congestion, you can breathe in through your mouth. Remember that your abdomen should move outward as you inhale.
If you notice that only your chest is moving, then you aren’t inhaling deeply enough.
Slowly exhale through your mouth as your abdomen returns to its normal position.

PELVIC TILT

Stand straight with your back to the wall and relax your spine.
Breathe in deeply and press your back against the wall. Exhale and repeat. Continue the exercise for about five minutes. Do pelvic tilt exercises many times through the day.

SQUATTING

This is especially useful during the first trimester of pregnancy.
Lean against the wall and stand with your feet spread. Now, lower your body by bending your knees. Pause, then slowly push yourself back to the starting position.

SIT AND CYCLE

Sit on a chair, lift a leg and cycle 20 times. Repeat with the other leg.
In case you have difficulty doing this exercise as your trimester progresses, you can switch to horizontal cycling. Lying down on the mat or bed, you can air cycle with both the legs.

Pregnancy Exercises

WALL PUSH-UPS

Stand facing a wall. Now lean against the wall with your hands. Keep your knees comfortably apart. Place your hands on the wall at the level of your shoulders, slightly greater than shoulder-width apart. Slowly bend your elbows and lower your chest until your chin reaches the wall. Remember to keep your back straight and then return to the starting position.
Wall push-ups engage the triceps and pectoral muscles.

PELVIC BRIDGING

Lie face up on the floor with your knees bent and your feet flat on the floor. Now raise your hips so your body forms a straight line from your shoulders to your knees. Pause for a couple of seconds and lower your body back to the starting position.

BACK PRESS

Lie face up on the floor with legs straight. Roll a small towel and keep it under your lower back.
Now bend your knees and try to press your back against the towel. Hold this position for a few seconds and then relax.

CALF STRETCH

As your pregnancy progresses, your legs may get tired easily. With calf stretches, you can maintain good circulation in your legs.
Sit with your legs stretched out. Hold two ends of a long towel with both your hands and use the towel to pull your feet towards you.
You feel a stretch in your calf muscles. Hold this position for a few seconds and relax.

SIDE RAISES

Lying on your side, lift your leg and bring it down. Repeat on the other side.

KEGEL EXERCISE

Lie down on a flat surface. Bend both knees slightly and place a pillow between your thighs. Imagine you are trying to stop the flow of urine. When you do this, you are contracting the muscles of the pelvic floor.
Try to keep your leg, buttocks and abdominal muscles as stable as possible. You can do the same exercise in a sitting position. Each time you contract the muscles of the pelvic floor, hold for a slow count of five and then relax.
Kegel exercises help strengthen your pelvic floor muscles, which support the uterus, bladder, small intestine and rectum.

Always remember to drink plenty of water to stay hydrated during these exercises. Consult your doctor to discuss your workout plan. A regular workout plan goes a long way to ensure good health during and after pregnancy. Let go of all your worry and stress. Focus on enjoying this season of life. Happy pregnancy!

Reference :

  • By Dr. Roopa Menon is a Mumbai-based health writer.

Related posts :