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Gm Bagi Bagi Char Point 16
depending on the severity of asthma, treatment may be varied. while the severity of asthma is being assessed, close monitoring of the patient’s condition is required. the patient should be questioned regarding their symptoms, as well as the onset of symptoms, to determine if symptoms are new and to identify potentially active underlying conditions that might contribute to the exacerbation of asthma symptoms.
what’s new: the ada recommends a multidisciplinary approach to treating adolescents with obesity, encompassing medical, nutritional, psychological, social, and physical interventions. the recommended weight-control diet should be accompanied by increased physical activity. several different diets are available, including low-fat and low-carbohydrate diets. the american dietetic association (cranston. structural approaches to behavioral counseling for overweight children and adolescents. j am diet assoc. 2003; 103 : 425-432.)
psychiatric issues may be present to some degree in all individuals with eating disorders but are a significant and often unrecognized contributor to the development and maintenance of these disorders in many of the affected individuals. this is particularly true in adolescent females. the feeding disorder may be more serious in those with comorbid depression. family history of eating disorders may be a risk factor as well as stressful life events (e.g., divorce, bereavement). life events in early adolescence may trigger onset of the disorder in some individuals. (maya greenberg and derek s. hawkins. treatment for eating disorders in children and adolescents: a review of current evidence. clinical child psychology and psychiatry. 2014; 19(2):107-116.)
pharmacotherapy: treatment goals in adults with this type of epilepsy are the control of motor symptoms, prevention of seizures, and control of mood symptoms. in children, the same goals may be achieved through the selection of the appropriate anticonvulsant, which is selected on the basis of the age of the patient, the type of seizure disorder, and the severity of the epilepsy. for example, phenytoin should not be used for an infant under 1 year of age with seizures; carbamazepine is a reasonable choice for this patient. in adolescents and adults, phenytoin is the anticonvulsant of first choice.
physician prescription of psychotropic medications is an option for psychiatric patients. medications that may be beneficial include antidepressants, such as selective serotonin reuptake inhibitors, tricyclic antidepressants, serotonin and noradrenaline reuptake inhibitors (snris), and ssris. (archer, b., et al. glucocorticoid receptor antagonists. mechanism-based considerations and clinical implications. expert opin investig drugs. 2011; 20(17):2827-2834.)
to use a google sheet as an excel table, you will need google drive set up on your computer and the google sheets add-on activated. but first, you will need to download a copy of the files for my test sheets , saving them somewhere on your computer.
if you’re using excel 2010, you’ll need to install the downloadable add-on, access google sheets with excel . once the add-on is installed, you can go to >tools > add-ins, choose google sheets and hit install. alternatively, you can go to >file > options > add-ins and pick “install from a file.” once installed, follow the directions to configure the add-on.