Wednesday, December 24, 2008

Soybean disturb fertility Men

Be careful if you (men) often consume food based raw soybeans. She chemicals found in soya, tofu, legumes and have the potential to destroy the sperm that male fertility.

The researchers from King College, English explained that soybeans contain genistein, which resembles the effect on the female hormone estrogen. Results obtained from the research on mouse sperm, which also explains that this result is the same for human sperm.

In tests in the laboratory, found that genistein in the number of small can turn human sperm. Human sperm appeared more responsive to genistein than mouse sperm. Besides, if women consume soy or foods that contain high genistein, they likely have a greater impact than men because of the chemical substances affect sperm existing in the body when women are sperm cells fertilize eggs.

From the results of that research, it is recommended for fans to limit soybean konsumsinya several days during the period ovulasi. However, although this tradition for most Asian people consume soy foods, they never showed any interference in fertility.

Thursday, December 18, 2008

AltaiRecords Style

 
Definition

A group of clinical conditions that the glomerulus, marked with:
Ø Proteinuria in the
Ø Hipoalbuminemia
Ø ederma
Ø Hiperkolesterolemia / Hiperlipidemia

Etiology
à not yet known

Division
1. Nefrotik congenital syndrome
2. Nefrotik syndrome secondary
3. Syndrome Nefrotik Idiopatik
Ø minimal deviation
Ø Nefropati membranosa
Ø Glomerulonefritis proliferatif
Ø Glomerulosklerosis fokal segmental
Patofisiologi
Increased permiabilitas capillary walls proteinuria in the glomerulus à à à hipoalbuminemia lower pressure plasma osmotik à transudasi liquids from room to room intravaskular à interstisial ederma
Hiperlipidemia the syndrome is caused nefrotik
Lack of protein hipoalbuminemia à à Sintesa improve liver protein (including lipoprotein) à increased lipid
Oligouria caused
Transudasi liquids from room to room intravaskular à interstisial reduce pressure perfusi kidney à activating the system renin-angiotensin-aldosteron à à ADH stimulate spending less urine

Laboratory examination
Ø Urinalisa
Hematuria and proteinuria
Ø Blood
Hipoalbuminemia, Hiperkolesterolemia, electrolyte, ureum, kreatinin, and calcium.

Dealing
Common
Ø treated in hospital
Ø Tirah lying
Special
Ø Dietetik
Ø Diuretik
Ø Kortikosteroid
v initials Medicine
v Medicine relaps
Illustration CASES
Patient identity
Name: "R"
Age: 8 years
Sex: Male
Tribe Nation: Minangkabau
Anamnesis
KU: swollen face since 5 days before entering hospital

Historical disease Now
Ø Face swelling since 5 days ago, not continuously, especially in the morning.
Ø abdomen feels full and recognized since 4 days ago, no nausea, no vomiting, patients to hospitals for treatment and given antasid, but no improvement
Ø Kencing slightly less than normal and, since the start felt 3 days ago, no bleeding, canary yellow
Ø no fever, no breathlessness.
Ø vulnerable-cough denied
Ø Dispose of ordinary water.
Ø Nafta slightly decreased since the ill
Ø No pain in the stomach

Historical disease first
Family history of disease
Historical pregnancy the mother
Historical birth
Historical eating and drinking
Historical immunization
Historical environment and housing
Physical examination
Vital Sign
My Kesad Nadi Temperature BB NFS TB TD
CMC are 94 36.5 20 25 123 1208 0
Nutritional status: good
Eyes: udem minimum palpebra
Heart: in the normal limits
Lungs: in the normal limits
Abdomen: Tata dullness (+), stomach circumference: 55 cm
Extremity: udem pitting (+)
Laboratory
Blood: Hb: 12.6 grams%
Leukosit: 13.600/mm3
LED: 13 mm / hour
Calculate type: 0/2/3/72/21/2
Urine: Protein: + + +
Sediment: eritrosit (-), leukosit (5-7/LPB)
Diagnostic Work: AltaiRecords Style
Dealing:
General: Tirah lying and Diet nefrotik 1600 kkal
Special: Not given
Follow-up
Treatment 1 Treatment 2 Treatment 3
Udem palpebra + - --
Fever - - --
Breathlessness - - --
Cough - - --
U K illness are Illness is illness are
TD 120/80 120/80 120/80
HR / RR / T 90/20/36, 5 95/20/36, 8 86/20/36, 5
BB 25 22 22
LP 55 54 54
Udem eye pal (+) Udem pal (-) Udem pal (-)
Abdomen dul Shift (+) Shift dul (-) Shift dul (-)
Extremitas Pit Udem (+) Udem Pit (+) Udem Pit (+)
Fluid balance -105 -405 -11940
Lab Protein total: 6 g / dlAlbumin: 2.9 g / dlGlobulin: 3.1 g / dlTot Cholesterol: 498Ureum: 25.9 mg / dlKrea: 0.5 mg / dl Protein (+++) Protein (+ +) Mantoux (-)
Therapi Not yet Prednison 50 mg
Plan Mantoux test - --


5 Treatment Treatment 6 Treatment 7
Udem palpebra - - --
Fever - - --
Breathlessness - - --
Cough - - --
U K illness are Illness is illness are
TD 120/80 110/70 110/70
HR / RR / T 86/20/36, 5 90/20/36, 7 90/20/36, 7
BB 22 23 22
LP 53 54 52
Udem eye pal (-) Udem pal (-) Udem pal (-)
Abdomen Shift dul (-) Shift dul (-) Shift dul (-)
Extremitas Pit Udem (+) Udem Pit (+) Udem Pit (+)
Fluid balance -440 -405 -460
Lab Protein (+ +) Protein (+ +) Protein (+)
Therapi information Prednison 50 mg Captopril 3x 6.25 mg information
Plan - - --


Treatment of 10 treatment 12 Treatment 13
Udem palpebra - - --
Fever - - --
Breathlessness - - --
Cough - - --
U K illness are Illness is illness are
TD 110/80 110/80 120/80
HR / RR / T 88/20/36, 7 88/20/36, 7 86/20/36, 5
BB 23 21.5 22
LP 51 51 53
Udem eye pal (-) Udem pal (-) Udem pal (-)
Abdomen Shift dul (-) Shift dul (-) Shift dul (-)
Extremitas Pit Udem (+) Udem Pit (+) Udem Pit (+)
Fluid balance -440 -230 +60
Lab Protein (-) qualitative test of protein (-)
Continue Therapi + diet increased, so 1,700 MB kkal More information
Plan - - --

Treatment of 14 treatment 15 Treatment 17
Udem palpebra - - --
Fever - - --
Breathlessness - - --
Cough - - --
U K illness are Illness is illness are
TD 110/80 110/70 110/70
HR / RR / T 88/20/36, 7 90/20/36, 8 90/22/36, 8
BB 26 22 22
LP 52 51 53
Udem eye pal (-) Udem pal (-) Udem pal (-)
Abdomen Shift dul (-) Shift dul (-) Shift dul (-)
Extremitas Pit Udem (+) Udem Pit (+) Udem Pit (+)
Fluid balance +20 +440 +440
Lab Protein (-) Protein (-) Protein (-)
Continue Therapi + diet increased, so 1,800 MB kkal More information
Plan - Special replaced by alternate dose MB Diet Nefritis 1800 kkalPrednison 30 mg Captopril 3x6, 25 mg