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Acute respiratory disease: A sudden condition in which breathing is difficult and the oxygen levels in the blood abruptly drop lower than normal. Monoamine-oxidase inhibitor (MAOI) antidepressants are a group of medicines that are used to treat depression. Short bones in the human body are cubelike -- the length, width, and height measurements are all about the same.
About rickets Bone development in children When you’re a child, your bones continually grow and develop. Overview One of the nine types of muscular dystrophy, Duchenne muscular dystrophy (DMD) is a genetic condition characterized by progressive weakening of voluntary muscles that leads to death. A cental venous line (CVL) is a long, soft plastic tube, called a catheter, that is placed into a large vein in the chest. WHY IS A CVL USED? The main reason for a CVL is to deliver nutrients to a baby for a long period of time. It occurs when there is not enough blood flowing to the tissue, whether from injury, radiation, or chemicals.
It prevents the blood from flowing back from the aorta into the heart when the pumping chamber relaxes. Bicuspid aortic valve is present at birth (congenital). Necrosis is not reversible. When substantial areas of tissue die due to a lack of blood supply, the condition is called gangrene. An abnormal aortic valve develops during the early weeks of pregnancy, when the baby's heart develops. You cannot drink alcohol or eat food that contains tyramine (for example, cheese, liver, yoghurt or Marmite®) while you are taking an MAOI. It often runs in families. The bicuspid aortic valve may not be completely effective at stopping blood from leaking back into the heart. The health care provider will make a small surgical cut in the skin away from the vein to be entered. The aortic valve may also become stiff and not open up as well, causing the heart to have to pump harder than usual to get blood past the valve (aortic stenosis).
Those who inherit it have a defective gene related to a muscular protein called dystrophin. The position of the CVL is determined by an x-ray. WHAT ARE THE RISKS OF A CVL? There is a small risk of infection.
This protein keeps muscle cells intact, and its absence causes rapid muscular deterioration as a child with DMD grows. A fine tube (catheter) is directed to the heart and into the narrow opening of the aortic valve. A balloon attached to the end of the tube is inflated, to make the opening of the valve larger. Critically ill babies with a severely narrowed valve may need medications. If infection or blood clots form, the CVL may need to be removed and other therapies given. You should talk with your doctor. Though the catheters are very soft and flexible, at times they can cause the blood vessel wall to wear away, which leads to leakage of the IV fluid or medicine into other body areas.
This means family members carry a copy of the defective gene, but it does not cause DMD in those individuals. If you know of this condition in your family, speak to your health care provider before becoming pregnant. Children of both genders who are born to a mother who carries the defective gene each have a 50 percent chance of inheriting the defect. However, girls who inherit the gene will be asymptomatic carriers, and boys will present with symptoms.


DMD symptoms may include: difficulty walking or loss of ability to walk enlarged calves learning disabilities (in about one-third of affected individuals) lack of motor skills development fatigue rapidly worsening weakness in the legs, pelvis, arms, and neck Diagnosing Duchenne Muscular Dystrophy Muscular dystrophy may be suspected during routine wellness exams. For example, a consultant in mental health, or a GP who has a lot of experience of treating people with depression. Children may get enough vitamin D during summer by spending frequent short spells in the sun without wearing sunscreen.
The exact time you need is different for everyone, but is typically only a few minutes in the middle of the day. When muscles deteriorate, they release a large amount of creatine phosphokinase enzyme into the blood.
If high levels are detected, muscle biopsies or genetic tests will determine the type of muscular dystrophy. Children with DMD often lose the ability to walk and require a wheelchair by about age 12.
Leg bracing may be used to extend the amount of time a child is able to walk independently.
Weakening muscles can cause ailments such as scoliosis, pneumonia, and abnormal heart rate. True depression is different to unhappiness and has persistent symptoms (which often include persistent sadness). If your child has this condition, he or she will be unable to absorb enough phosphates or calcium to build strong, healthy bones.
Most sufferers pass away during their twenties, but with diligent care, some survive into their thirties. In the later stages of the disease, most sufferers are completely disabled and require full-time care.
If poor sleep is a symptom of the depression, it is often helped first, within a week or so.
As symptoms begin to appear between age 2 and 6, the child will usually need regular monitoring by a team of medical professionals.
As the final stages of the disease emerge during the teen and young-adult years, the sufferer may need to be hospitalized or receive hospice care. This is very important if you are taking one of the older MAOI antidepressants such as phenelzine, isocarboxazid and tranylcypromine. Hypertensive crisis is less likely to happen with moclobemide, but you still cannot eat or drink large amounts of food and drinks that contain tyramine.The first sign of a hypertensive crisis may be a throbbing headache. Alternatively your child may have a vitamin D injection once a year instead of daily vitamin D supplements. So, make sure your doctor knows of any other medicines that you are taking, including ones that you have bought rather than been prescribed.
Always check with your pharmacist before buying any medicines from the chemist or supermarket to see if they are safe to take with an MAOI antidepressant.
Always make sure you show this card to anyone giving you medical treatment (for example, a doctor, a dentist, a pharmacist or a nurse). While you’re pregnant, your baby will get all the vitamin D he or she needs directly from you. This will be stored in their body and your baby will use this supply over the first few months after they are born. After this, unless your baby gets vitamin D from another source, these stores will begin to run out.


Diet alone isn't usually enough to give your child his or her daily requirement of vitamin D. However, you can get some vitamin D from: oily fish (for example, sardines and mackerel) eggs (cooked, not raw) margarine breakfast cereals fortified with vitamin D Sun Vitamin D is produced naturally by your body when your skin is exposed to sunlight. Your child may get enough vitamin D during summer by spending frequent short spells in the sun without wearing sunscreen. However, the exact time you need is different for everyone, but is typically only a few minutes in the middle of the day.
This is especially important for babies being breastfed or children who are at risk (for example Asian, African-Caribbean and Middle Eastern). This is often because of vitamin D deficiency in a child’s diet (nutritional rickets). Children with dark skin need a lot more sunlight to get enough vitamin D than those with light skin. The sun in the UK isn’t strong enough to give these children the amount of vitamin D they need, especially during the winter months when the sun is much weaker.
An option if they do occur is to restart the medicine and reduce the dose even more slowly.
If you wish to report a side-effect, you will need to provide basic information about: The side-effect.
Good sources of calcium include dairy products, bread made with fortified flour and leafy green vegetables.
Vitamin D can be found in oily fish, cooked eggs, and fortified margarine and breakfast cereals. It's especially important to protect your child from the sun around midday; use sunscreen and keep him or her mostly covered up or in the shade during this time. The UK Department of Health recommends that all children between six months and five years old, and breastfed infants from one month of age take vitamin D supplements if their mother hasn’t taken vitamin D supplements during pregnancy. This is especially important for babies who are breastfed or children from ethnic groups who are more at risk.
For some children these can be obtained free of charge through the Government's Healthy Start scheme.
The scheme can also provide free vitamin D supplements for women who are pregnant or breastfeeding. Always read the patient information leaflet that comes with your child’s supplements and if you have any questions, ask your pharmacist or GP for advice. However, if your child has severely misshapen bones and joints as a result of rickets, he or she might need to have surgery. Having hypophosphataemic rickets means your son isn’t able to absorb enough phosphates or calcium from his diet that he needs to build strong, healthy bones. Unlike the more common form of rickets, standard vitamin D treatment won’t help but there are other treatments available.
As a baby their weight is normal but they often grow slowly in comparison to other children without the condition.



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