manualofdiabetesmellitus.blogspot.com
Manual of Diabetes mellitus: Diabetes and pregnancy
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Manual of Diabetes mellitus. Sunday, February 1, 2009. Diabetes is a metabolic disease characterized by hyperglycemia resulting from defects in insulin secretion or insulin action or both. About 3-10% of pregnant mothers are suffering from diabetes. Depending Recent studies suggest that the prevalence of diabetes among women of childbearing age is increasing in the world. This increase is believed to be attributable to. 1 more sedentary lifestyles,. 2 changes in diet,. 8226; Typically, only 1.5-2% of...
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Manual of Diabetes mellitus: Type 2 diabetes mellitus
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Manual of Diabetes mellitus. Sunday, February 1, 2009. Type 2 diabetes mellitus. This is a group of disorders characterized by hyperglycemia and associated with microvascular, macrovascular complications. Unlike type 1 diabetes mellitus, the patients are not absolutely dependent upon insulin for life, even though many of these patients ultimately are treated with insulin. How does it happen (Pathophysiology)? Recent work has suggested that elevated free fatty acids may be the driving force behind insulin...
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Manual of Diabetes mellitus: Clinical features of type 2 diabetes mellitus
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Manual of Diabetes mellitus. Sunday, February 1, 2009. Clinical features of type 2 diabetes mellitus. In clinical practice, history, examination and investigations are important to diagnose the disease. History and examinations are the fundamental things and they give evidence of the condition. The possible presence of diabetes mellitus should be considered in patients with risk factors;. 2 patients with a first-degree relative with type 2 diabetes mellitus. 4 a history of gestational diabetes mellitus.
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Manual of Diabetes mellitus: Investigations for type1 diabetes mellitus
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Manual of Diabetes mellitus. Sunday, February 1, 2009. Investigations for type1 diabetes mellitus. Are important to diagnose the diabetes and to identify the type of the diabetes. As well. Types of investigations are;. Hematological investigations (Blood tests). Blood glucose: This is the mainstay of test to diagnose. Results are interpreted according to the. Serum electrolytes: to identify the renal involvement. White blood cell count and blood and urine cultures to rule out infections. Production once ...
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Manual of Sexual Disorders: Management Failure of genital response (erectile dysfunction)
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Manual of Sexual Disorders. Friday, March 27, 2009. Management Failure of genital response (erectile dysfunction). Penile-brachial artery pressure index of less than 0.6 is indicative of arterial disease to penis; angiography may be necessary in younger patients. Nocturnal penile tumescence monitoring can distinguish organic (no nocturnal erections) from psychogenic causes. Dynamic cavernometry (normal saline infused into corpus cavernosum) can detect venous incompetence. Iv) penile prosthetic implants:.
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Manual of Sexual Disorders: Background-sexual disorders
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Manual of Sexual Disorders. Friday, March 27, 2009. Fallen in the last four decades from 21 to 17 for both men and women. Fewer than 1% of women aged 55 or over report heterosexual intercourse before the age of 16, compared with 20% of those in their teens. Early intercourse is associated with:. Less likely to use contraception. Age and marital status are associated with multiple partnerships. Increasing partner change with increasing social class. 8226; vaginal intercourse predominates. 6% of men and 3%...
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Manual of Sexual Disorders: March 2009
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Manual of Sexual Disorders. Friday, March 27, 2009. Manual of Sexual Disorders. The sexual response cycle. Failure of genital response. Management Failure of genital response (erectile dysfunction). Disorders of Gender Identity. Fallen in the last four decades from 21 to 17 for both men and women. Fewer than 1% of women aged 55 or over report heterosexual intercourse before the age of 16, compared with 20% of those in their teens. Early intercourse is associated with:. Less likely to use contraception.
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Manual of Sexual Disorders: Antisocial Sexual Behavior
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Manual of Sexual Disorders. Friday, March 27, 2009. 8226; this is unlawful sexual intercourse with a woman by force or against her will. 8226; Classification of rapists (Trick and Tennant 1981):. 1 Situational stress rapist. Otherwise sexually normal, these individuals commit rape when under extreme situational stress. There is much guilt and remorse afterwards. Poor social adjustment with criminality, poor work record, substance abuse, unstable relationships. Threats of violence are common. The frequenc...
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Manual of Sexual Disorders: Premature ejaculation (PE)
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Manual of Sexual Disorders. Friday, March 27, 2009. The inability to control ejaculation sufficiently for both partners to enjoy sex. Primary premature ejaculation is always present. Secondary premature ejaculation develops after a period of satisfactory sexual functioning. If semen is released from the urethra without force, it is termed emission. Ejaculation and emission are mediated by the alpha-adrenergic sympathetic nervous system. Androgens have a role. Anxiety promotes emission but inhibits orgasm.
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Manual of Sexual Disorders: Non-organic vaginismus
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Manual of Sexual Disorders. Friday, March 27, 2009. Occlusion of the vaginal opening caused by spasm of the surrounding muscles. Penile entry is impossible or painful. 8226;when sexually aroused the upper 2/3 of the vagina are lax and capacious, whereas the lower 1/3 is closely invested by the surrounding musculature of the pelvic floor – the strongest is the levator ani. If these muscles are too tense then penile entry is occluded. Pain or anticipation of pain can cause further muscle contraction.