المعرفة العلمية للصيدلة | نهدف الى نشر المعلومة الدوائية والتوعية الصحية للمجتمع ومقدمي الرعاية الصحية | نسعد بإستقبال اسئلتكم الدوائية والاجابة عليها |#SKOP
Acinetobacter baumannii is one of the ESCAPE organisms, a group of clinically important, predominantly health care-associated organisms that have the potential for substantial antimicrobial resistance
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The organism has the ability to accumulate diverse mechanisms of resistance, leading to the emergence of strains that are resistant to all commercially available antibiotics
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Acinetobacter is a gram-negative coccobacillus that has emerged from an organism of questionable pathogenicity to an infectious agent of importance to hospitals worldwide .
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Damage is slowly progressive as neural pathways from the retina to the brain are destroyed and is often unnoticed until neural damage of peripheral vision is advanced
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In POAG, the most common form of the disease, elevated eye pressure occurs as a result of inadequate drainage of aqueous fluid via the canal of Schlemm and trabecular meshwork systems, even though the space for the fluid to drain is “open.”
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Buildup
of fluid either by an imbalance in the amount of fluid or a blockage in the flow of aqueous fluid being created raises the IOP to a level that compresses blood vessels, photoreceptors, and nerve fibers of the optic nerve and results in ischemia and cell death.
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The balance in the volume of fluid being formed, circulated, and reabsorbed establishes eye pressure, with normal pressure being between 12 and 22 mm Hg.
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Glaucoma is a disease of elevated intraocular eye pressure (IOP) above normal for a period of time that leads to long-term damage of the optic nerve, visual impairment, and blindness
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Obesity increases risk for several chronic illnesses including diabetes mellitus, cancer, cardiovascular disease, and obstructive sleep apnea, creating far-reaching impacts on health and health-care
costs
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Several risk factors have been linked to the development of obesity including age, gender, excessive caloric intake, sedentary lifestyle, genetic predisposition, endocrine disorders, and smoking cessation
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The calculation of the ratio of height to weight is made using the body mass index (BMI) calculator with obesity defined as a BMI ≥30 kg/m2 and overweight as a BMI ≥25 kg/m2
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Hyperglycemia places both mother and fetus at risk as glucose crosses the placenta creating hyperglycemia in the fetus who stores the excess glucose in fat cells.
The result is a larger-than-normal baby who may exhibit low blood sugars after delivery.
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etiology of GDM is not clearly understood but it is thought that the rise in estrogen levels and the weight gain that normally occur during pregnancy lead to insulin resistance and the pancreas inability to produce enough insulin to cover the rise in blood glucose level
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Glucose intolerance during pregnancy is called gestational diabetes mellitus (GDM).
While GDM occurs only during pregnancy and typically resolves following childbirth
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. White lesions that scrape off with a tongue depressor are almost certainly oral thrush.
Oral thrush is common in patients undergoing palliative care, even with good mouth care. Treatment with clotrimazole troches or fluconazole is recommended.
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The diarrhea in this case is likely the effect of the radiotherapy on the bowel. Diphenoxylate, lopera- mide, and codeine are all good treatment choices. In most patients, the diarrhea will settle down 1 or 2 weeks after the completion of the course of radiotherapy.
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