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Maternal-Fetal Nutrition during Pregnancy and Lactation
Delivery of an optimally grown, viable infant defines a successful pregnancy. Optimal growth is achieved by the interaction of maternal, placental, and fetal systems to deliver maternal nutrients to the placenta, transfer them to the fetus, and maximize their utilization for fetalgrowth. Pregnancy is characterized by profound changes in the maternal immune, metabolic, cardiovascular, and renal systems to ensure a asuccessful pregnancy and adequate fetal growth. The fetal-placental unit secretes many hormonal signals, the roles of which include redirecting maternal physiology and metabolism to direct substrate toward the fetus and support normal fetal growth. The physiological adaptations of pregnancy begin shortly after conception, indeed before the establisment of a fetal placental unit, and thus in their early phases must be directed by maternals signals, including those from the corpus luteum. Subsequently feto-placental signals play a major role in regulation of maternal metabolism. This chapter describes the maternal adaptation to pregnancy and the role of the placenta in nutrient transfer to the fetus.rnrn
Epidemiology, Biostatistics, and Preventive Medicine
Epidemiology is the basic science of preventive medicine and public health, and biostatistics is the qualitative foundation of epidemiology. To separate these fields ? as is usually done in texts for students of medicine, public health, and related disciplines ? incurs the risks of providing incomplete coverage of each field and failing to integrate the subject matter.rnrnrnIn developing this book, the goal was to present a comprehensive view of the fields of epidemiology, bistatistics, preventive medicine, and public health by showing their interrelationships and emphasizing their relevance to clinical practice, research and public health policy. In particular, the objectives were to combine theory and apllication in a manner that enables readers to interpret the scientific literature with understanding; to approach clinical practice with an emphasis on prevention; and to understand the social, organizational, financial, and governmental environments in which physicians and other health professionals must practice today.rn
100 Questions and Answer About Your Daughters Sexual Wellness and Development
That?s when we mom?s need to make sure that we are an integral part of our daughter?s lives. It?s a pretty daunting world out there for girls and young women, one that constantly barrages them with thoughts, words, and images of sex, sex, and more sex, but then completely ignores the critical facts about sexual development, sexual health, and sexual protection. Therefore, as mothers, we need to make sure that our daughters have the proper tools and knowledge so that they can become safe, self-confident, and self- fulfilled young women in these difficult times. And we can only do so if we, ourselves, know the facts.rnrnrnSo just remember, even when your young daughters lokks all grown up on the outside, on the inside she?s still just a vulnerable girl who is facing an often hostile world and who needs your wisdom and guidance. And also remember that even when your teenaged daughter seems to keep pushing you away, she still needs and wants your advice and supports.rn
Zoo and Wild Animal Medicine : Current Therapy 6
Some of the topics address currents problems, such as chronic wasting disease in cervids problems, such as chronic wasting disease in cervids and tuberculosis in free ranging deer and elephants. Other topics describe newly emerging or newl recognized diseases, such as paramyxovirus in bats and protozoal encephalitis in marine mammals.rnrnOne topics that is addressed and needs to be considered by all medical professionals is the growing awareness that wildlife, domestic animals, and humans are all subject to pressure from the same or similar infectious agents and environmental stresses. All animals interrelate with one another. Determining how disease agents circulate in the world requires a holistic approach to medicine.rnrnThe medical management of species or groups of animals that mau have not been throughly discussed elsewhere includes bustards and chamois. A topic of vital concern to the world is the potential for a pandemic of avian influenza to wreak havoc on humas and domestic and wild animal populations. The avian chapter has been continually updated throughout the production of this book to keep current on what is happening worldwide with avian influenza. rn
Elseviers Integrated Physiology
Making links across the basic sciences is crucial in the years of medical training-not only to understand the principles behind disease, but also to get throuhg exams. Yet this integration is a tough challenge...especially when most books, and many courses and syllabi, deal with one discipline at a time.rn rnThis title in Elsevier?s Integrated Series : Focuses on the core knowledge of Physiology, and links this information together with key points in other disciplines all in one title-saving you reference time, offers numerous high-quality color illustrations and case-based questions, features a color-coded format to facilitate quick reference and promote effective retention, comes with a free online version, including USMLE-style questions.rn
Drugs for Pregnant and Lactating Women
The study of medication use in pregnancy is one of the least developed and most neglected areas of clinical pharmacology and drug research. Although pregnancy is widely regarded as a special population due to both the unique maternal physiology and the vulnerability of the developing fetus, researchers and pharmaceutical companies have been reticent to evaluate optimal modalities of treatment for this group. The issue is compounded by the enormous number of medications women are exposed to during pregnancy. Epidemiological surveys indicate nearly two thirds of all pregnant women use four to five drugs during pregnancy throught delivery. Women with medical conditions such as epilepsy, diabetes, and hypertension must continue therapy while pregnant. In some cases, due to a justified or unjustified concern for the developing fetus, the medication prescribed is either withheld, inadequate to treat the maternal condition, or not monitored closely enough as pregnancy progresses for needed adjusments in dosing. The result is a double negative, that of fetal exposure without maternal of fetal benefit. The lack of Food and Drug Administration obstetric labeling and the near universal off-label use of drugs are the direct results of the paucity of research and clinical trials in this special population. The public concern stems from the use of drugs in pregnancy based on an empiric approach rather than a scientific basis, and does not take into account the many alterations in pregnancy.
Breastfeeding : A Guide for The Medical Profession
The discovery of the additional significance of mother?s breast and chest to the infant comes from studies of Swedish researchers who have shown that a normal infant, when dried, placed on the mother?s chest, and covered with a light blanket, will warm or maintain body temperature as well as an infant warmed with elaborate, high-tech heating devices. The same researchers found that, when infants are skin-to-skin with their mothers for the first 90 minutes after birth, they hardly cry at all compared with infants who are dried, wrapped in a towel, and placed in a bassinet. In additional, the researchers demonstrated that if a newborn is left quietly on the mother?s abdomen after birth he or she will, after about 30 minutes, gradually crawl up to the mother?s breast, find the nipple, self-attach, and start to suckle on his her own.rnrnrnIt would appear that appear that each of these features-the crawling ability of the infant, the absence of crying when skin-to-skin with the mother, and the warming capabilities of the mother?s chest-evolved genetically more than 400,000 years ago to help preserve the infant?s life.rn
Dahsyatnya Enzim
Enzim berperan penting dalam kerja tubuh kita. Enzim bertanggung jawab menjaga kesehatan dan proses metabolisme di dalam tubuh. Kekurangan enzim dapat menyebabkan tubuh mengalami gangguan pencernaan dan selanjutnya menyebabkan gangguan penyerapan. Semua yang kita lakukan, mulai berbafas, mengunyah sampai proses pembuangan, enzim terlibat didalamnya. Ada tiga enzim besar yang berperan dalam tubuh kita yakni enzim pencernaan, metabolisme dan enzim yang berasal dari luar yakni dari makanan. Enzim membantu molekul-molekul yang dipecah dari makanan yang dikonsumsi agar bisa diserap oleh tubuh manusia, misalnya nasi setelah dikunyah akan hancur dan jadi karbohidrat.
Makanan Sehat untuk Usia 50 Tahun ke Atas
Usia 50 tahun sering dianggap sebagai tahun keemasan (golden years). Hal ini bisa dimengerti karena jika dihubungkan dengan keadaan ekonomi, biasanya pada usia itu orang sudah sangat mapan. Bahkan kalau memiliki perusahaan atau bisnis, ia kemungkinan sedang menata kembali bisnisnya untuk dialihkan kepada putra putrinya. Jika ia seorang PNS (Pegawai Negeri Sipil), ia pun sedang bersiap memasuki Masa Persiapan Pensiun (MPP), dimana mungkin ia juga telah merencanakan kegiatan selanjutnya, sangat mungkin menekuni hobi atau kegemaran yang selama ini hanya mendapat bagian paruh waktu.rnrnUsia 50 tahun juga tahap yang rentan dengan masalah kesehatan dan serangan penyakit. Salah satu faktor yang mempengaruhi kondisi tersebut adalah soal makanan. Itulah sebabnya buku ini memberikan penjelasan tentang makanan yang tepat untuk Anda yang berusia 50 tahun.
Menjadi Remaja Sehat
Masa remaja dalah masa peralihan dari masa kana-kanak menuju acuan WHO adalah usia 12-24 tahun dan belum menikah. Seorang remaja haruslah sehat dan bertanggungjawab, yaitu :rn1. Sehat secara fisi (tidak tertular penyakit, tidak menyakiti atau merusak kesehata orang lain)rn2. Sehat secara psikologi (percaya diri, mampu berkomunikasi, mampu mengambil keputusan dengan mempertimbangkan risiko dan siap menerima risiko)rn3. Sehat secara sosial (mampu mempertimbangkan nilai-nilai sosial yang ada dis ekitarnya dan mampu menyesuaikan diri dengan nilai dan norma yang ada).rn
Karya Umum 
Filsafat 
Agama 
Ilmu-ilmu Sosial 
Bahasa 
Ilmu-ilmu Murni 
Ilmu-ilmu Terapan 
Kesenian, Hiburan, dan Olahraga 
Kesusastraan 
Geografi dan Sejarah