Toxemia In Pregnancy

Preeclampsia Eclampsia Y

Pregnancy toxemia is a metabolic disorder caused by low glucose concentrations in the blood and excessive breakdown of body fat to compensate..Toxemia [tok-seme-ah] 1. the condition resulting from the spread of bacterial products toxins by the bloodstream. 2. a name formerly used to indicate a pregnancy .Pregnancy toxemia in sheep and goats has also been called ketosis, lambing/kidding sickness, pregnancy disease and twin-lamb/kid disease. It occurs in all parts of .Pregnancy toxemia and ketosis are the result of the high carbohydrate energy demand of multiple fetuses in late pregnancy. The kids require an increasing amount of .Pregnancy Toxemia Ketosis in Goats . Meeting the Daily TDN Energy Requirements for Goats Criteria BW lb BW Kg Protein Energy-TDN.Ahmed Khan in charge of the district mobile unite along with team administered vaccines against seasonal diseases among cattle and enterio toxemia in goats and sheep..Signs Symptoms of Toxemia During Pregnancy. According to Babycenter.com, toxemia affects about 3 percent to 8 percent of pregnant women. Toxemia is now more .Toxemia of pregnancy n. See preeclampsia. ThesaurusAntonymsRelated WordsSynonymsLegend: Switch to new thesaurus Noun 1. toxemia of pregnancy - an abnormal condition .Before kidding it is called Pregnancy Toxemia. After kidding it is called Ketosis. Pregnancy Toxemia/Ketosis is caused by a build up of excess ketones in the .EP 321 Pregnancy Toxemia Ketosis in Does and Ewes. Helen A. Swartz, State Sheep, Goat and Small Livestock Specialist. Symptoms Does and ewes suffering from .

Preeclampsia Eclampsia Y

Proper Nutrition During Pregnancy

EP 321 Pregnancy Toxemia Ketosis in Does and Ewes. Helen A. Swartz, State Sheep, Goat and Small Livestock Specialist. Symptoms Does and ewes suffering .Pregnancy toxemia and ketosis are the result of the high carbohydrate energy demand of multiple fetuses in late pregnancy. The kids require an increasing amount of .Toxemia of pregnancy n. See preeclampsia. ThesaurusAntonymsRelated WordsSynonymsLegend: Switch to new thesaurus Noun 1. toxemia of pregnancy - .Toxemia [tok-seme-ah] 1. the condition resulting from the spread of bacterial products toxins by the bloodstream. 2. a name formerly used to indicate a pregnancy .Pregnancy Toxemia Ketosis in Goats . Meeting the Daily TDN Energy Requirements for Goats Criteria BW lb BW Kg Protein Energy-TDN.Pregnancy toxemia is a metabolic disorder caused by low glucose concentrations in the blood and excessive breakdown of body fat to compensate..Before kidding it is called Pregnancy Toxemia. After kidding it is called Ketosis. Pregnancy Toxemia/Ketosis is caused by a build up of excess ketones in the .Ahmed Khan in charge of the district mobile unite along with team administered vaccines against seasonal diseases among cattle and enterio toxemia in goats and sheep..Pregnancy toxemia in sheep and goats has also been called ketosis, lambing/kidding sickness, pregnancy disease and twin-lamb/kid disease. It occurs in all parts of .Signs Symptoms of Toxemia During Pregnancy. According to Babycenter.com, toxemia affects about 3 percent to 8 percent of pregnant women. Toxemia is now .

Lessons Learned From Legal Marijuana In Colorado

Today's very interesting post from webmd.com (see link below) looks at the impact of legalised marijuana in Colerado, a year after it's legalisation. As many people living with neuropathy will know, marijuana is one of the few proven treatments for neuropathic pain but very few people will have tried it themselves, either due to fears of the 'smoking' aspect, or the lack of availability in their region, or even fears of being 'high' all the time. It's always worthwhile looking at the facts; discussing it with your doctor and doing as much of your own research as possible (many more posts on this blog for instance). One of the most interesting points of research is examining what has happened in areas where marijuana has been legalised and is in controlled use. This article is well worth a read.

Year 1 of Legal Marijuana: Lessons Learned in CO
By R. Scott Rappold
WebMD Health News
Reviewed by Brunilda Nazario, MD
Nov. 6, 2014 --

When the first legal sales of recreational marijuana in modern history began Jan. 1 in Colorado, it was a bold experiment fraught with unknowns.

Would kids get easy access to the drug? Would stoned drivers make the highways more dangerous? Would drug addiction problems increase?

While there isn’t enough data yet to answer some of those questions, one thing is clear: There is a rising tide of public support for marijuana legalization in America. Voters in Washington State approved it in 2012, and earlier this week, voters in Alaska, Oregon, and Washington, D.C., approved legalizing recreational marijuana.

Some of the lessons being learned in the Rocky Mountains could be instrumental in other states, as public health officials figure out how to regulate a drug that has been illegal for 8 decades.

Commercialization of Marijuana

Even before the first recreational stores opened in 2014, marijuana storefronts were a presence in most Colorado communities.

Since 2009, a loosening of regulations led to a growing medical marijuana industry, in which residents who received a doctor’s recommendation and applied for a state license could walk in and buy marijuana. There are today nearly 500 such dispensaries in Colorado.

Since Jan. 1, another 212 recreational stores have opened. In these stores, state residents 21 and over can buy up to an ounce of pot at a time. Out-of-state residents can buy a quarter-ounce. While some cities, including Colorado Springs, have banned the stores, in the Denver and Boulder areas and most resort towns, marijuana is visible and available.

Not everyone is happy about that. The mainstreaming of marijuana led Gina Carbone to co-found Smart Colorado, which calls for stricter regulations on the marijuana industry.

“What we’ve seen in the roll-out of this is the mass commercialization and the mass marketing of marijuana,” Carbone says.

“The more stores you have around, the more visibility, the more normalized it becomes, the greater the youth use is, because the perception of harm at the same time is plummeting,” she says.

Carbone would've preferred for Colorado to have followed the Washington model, where the number of marijuana stores are limited. Seattle, for example, will have just 21 stores. 

Marijuana Edibles

When an adult comes to the University of Colorado Hospital complaining about ingesting too much marijuana, the symptoms are usually anxiety, nausea, or vomiting, but it’s not life-threatening unless associated with another substance or an injury.

But when a child comes in, emergency department head Richard Zane, MD, has observed instances of a breathing problem called respiratory depression, which can be life-threatening.

Since legalization, he has seen a sharp increase in such cases, and he points the finger at edibles infused with THC, the psychoactive ingredient in marijuana.

“I think the way in which marijuana became legal in Colorado was pretty careless, specifically around the total lack of regulation or control around edible products, which have been causing the most impact on health,” Zane says.

Edible items available in marijuana stores run the gamut from sodas to chocolates and many other kinds of candies. Adults who take too much are often novice users who perhaps didn’t read or understand the label indicating the amount of THC, or ate some and didn’t wait long enough for it to take effect before having more.

But children usually have no idea what they're eating, whether they got the item from a friend or from their parents’ stash.

“To an 8-year-old, a gummy bear looks like a gummy bear,” Zane says. “It’s unconscionable to make a THC product that looks like a child’s sweet.”

The concern led the Colorado Department of Public Health and Environment (CDPHE) to recently propose a ban on almost all edibles.

“We had some pretty strong recommendations,” says CDPHE head Larry Wolk, MD. “If the industry isn’t going to do a better job on how they package and make this stuff not appealing to kids, our position has to be the only edible we can endorse are drops, where you can make your own, and single-serving tinctures.” The proposed edible ban, though only an idea, caused an outcry in an industry where 45% of marijuana sales are from edibles.

“A total ban defies logic,” says Mason Tvert, who spearheaded the legalization effort in Colorado and now is spokesman for the Marijuana Policy Project. “Voters ended marijuana prohibition because they wanted to take marijuana out of the underground market. To go back to prohibiting a very popular product would simply result in it being produced and sold illegally.”

A state task force looking at the issue has yet to make a decision. Other ideas include requiring child-proof containers for edible products, stronger labeling and dosing recommendations, a symbol on edibles, and limiting their THC content.In Washington, edibles are regulated much more toughly. Candies and lollipops are banned. And while cookies and brownies are allowed, they must be divided into doses and can't be marketed in a way that makes them similar to a non-marijuana product. 

Marijuana and Teens

Teens using pot is nothing new, but one of the main concerns of legalization was that it would lead to a spike in use. But the state’s Healthy Kids Colorado Survey, done every 2 years and released in September, showed 36.9% of high-schoolers had ever used marijuana, below the national average of 40.7%. The number who'd admitted using it in the preceding month dropped by 2% from 2011.

Still, law enforcement groups say marijuana problems are on the rise in schools. In one survey, 89 out of 100 school resource officers said marijuana-related incidents have increased in their schools.

Recreational stores are not allowed to sell to minors, and in a recent compliance check in Denver, not a single store sold to minors.

“I think we’ve kept it away from causing significant harm to kids, whether that’s as a result of packaging or limitations that are put in place by the stores, or safety concerns, or heightened parental awareness,” Wolk says.

The state spent as much as $2 million on an anti-marijuana education campaign aimed at minors in 2014, he says, and it will spend twice that much in 2015, funds derived from taxes on marijuana. 

Impaired Drivers

Driving while high is illegal in Colorado, but whether legalization has led to a rise in stoned driving is not yet clear.

The Colorado State Patrol, through September of this year, cited 497 people for driving while under the influence of marijuana -- though about half of those cases also involved alcohol or another drug -- out of 4,177 impaired driving citations.

But the agency only began keeping statistics separating marijuana from other drugged-driving cases this year. So, with no comparison data, both marijuana supporters and law enforcement agree more data is needed to learn legalization’s impact. 

Addiction

It will also take several years of data so show whether legalization has led to a spike in marijuana addiction and rehab visits in Colorado. Legalization critic Ben Cort, director of professional relations for a Denver treatment center, believes it will.

“They’ve got to expand demographics, and they’re not shy about this,” he says of the marijuana industry. “You’ve got a need to get new people using the substance, and you’ve got to get current users to consume more.”

Opponents to legalization in Oregon pointed to data that shows adult marijuana use has gone up in Colorado since medical marijuana became widespread, and warned that would happen in Oregon.

But, says marijuana activist Tvert, “there’s nothing wrong with an adult consuming marijuana responsibly, just like there’s really nothing wrong with an adult having a glass of wine with dinner or a beer while watching a sports game.

“For decades, law enforcement officials have been trying to scare the public into keeping marijuana illegal. This is just more of the same, but the public is seeing through that.” 

Looking Ahead

So can Colorado’s experiment be called a success? While Tvert says it will take years to answer some questions about the results of legalization, he does believe so.

“We’ve got hundreds of businesses that are tightly regulated, collecting taxes and providing a substance that’s less harmful than alcohol to adults who would otherwise get it in the underground market,” he says.

Marijuana is expected to bring in more than $100 million in tax revenue this fiscal year and has created thousands of jobs in Colorado.

“We’re on the right side of history, and if there are concerns about us being the first state or one of the first states, that is something that will inherently change in the next few years,” Tvert says.

Cort says that while he respects the will of the voters, he doesn’t think they knew what legalization would look like in reality. He says other states where legalization has passed could benefit from waiting to see what happens in Colorado.

“Lots of other states moving forward before Colorado has had an opportunity to showcase what’s really happened-- that is rash,” he says. “If everybody is calling Colorado an experiment, if we’re the canary in the coal mine, then give us a minute to see if we’re singing or we’re dead.”

Wolk, the state’s public health director, expects to have a clearer picture of legalization by spring 2015, when the Retail Marijuana Public Health Advisory Committee will release its findings on the first year of legalization.

The report will look at hospital visits, impaired driving incidents, teen use, rehab visits, and many other metrics. In the meantime, he believes the state is doing all it can, given the mandate to allow and regulate legal sales issued by voters in 2012.

“It’s been challenging, but I think it’s been an interesting challenge for us,” Wolk says. “I believe we’re asking the right questions. I believe we’re getting the right messages out and we’re studying what we should be studying, and hopefully by next year we’ll have some data and some answers.”

But, he says, “I'm not sure we’ll ever be able to say this has been an absolute success or a terrible failure.”

View Article Sources
© 2014 WebMD, LLC. All rights reserved.

http://www.webmd.com/brain/news/20141106/legal-marijuana-year-one

High Blood Pressure In Pregnancy

Low Blood Pressure Chart

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Neuropathy In The Genital Urinary System

Today's post from blog.diabetv.com (see link below) looks at a subject that many neuropathy patients may literally keep 'below their belts' thanks to societal embarrassment but it's surprisingly common, especially with people living with autonomic neuropathy over which they have no control. It's about so-called genito-urinary neuropathy which basically means, dysfunction of your bladder, digestive system and sexual performance. It's a useful post especially if you're a bit older because many of you will put the symptoms down to ageing and normal reduction of function due to age. It may not be that, so it's worth talking to your doctor or neurologist to see what, if anything can be done. Worth a read for all neuropathy patients (men and women). By the way, the article suggests that it only affects those with diabetes - absolutely not true - it can apply to all people living with neuropathy.

WHAT IS GENITOURINARY NEUROPATHY?
Posted by Dr. Leonel Porta

  Genitourinary neuropathy is another major forms of Autonomic Neuropathy that occurs in men and women with diabetes mellitus. The exact prevalence is unknown but in most of these patients are asymptomatic, however it is believed that up to half of the diabetics suffering from complications can have it.

The involvement of the lumbo-sacral innervation alters the proper functioning of the urogenital system, causing manifestations such as Neurogenic Bladder and Sexual Dysfunction.

Neurogenic Bladder and Diabetic Cystopathy: It is characterized by the loss of sensation of a full bladder due to decreased sensitivity to bladder distention. One in every two diabetics suffer from it. Symptoms usually appear in a progressively unpleasant way. The main symptom is a decreased frequency of urination, especially at night, with an increased volume of the first morning urination above 400mL. Later manifestations are an incomplete emptying of the bladder, bladder distention, urinary stasis and, in rarer cases, urinary incontinence.

Neurogenic bladder is a hypotonic bladder, and the presence of residual urine in it , predisposes to recurrent urinary tract infections, which can lead to long-term kidney failure. Diagnosis can be made by an ultrasound that shows the residual urine or by Flow Cystometry, which evaluates the neural pathways. In many cases a mechanical voiding of the bladder using urinary catheters probes is advisable as a relief measure.

Male sexual dysfunction: This is one of the most common clinical signs of Genitourinary Neuropathy and it is often the first manifestation of Autonomic Neuropathy, being three times more likely to be occurring in diabetics. The cause is multifactorial and includes neuropathy, vascular disease, metabolic abnormalities, and psychological factors. It is based on the alteration of erection and ejaculation. Erectile Dysfunction is defined as the consistent inability to achieve and maintain an erection for a satisfactory sexual intercourse. It must happen repeatedly and never change during several months and occur in more than 50% of the sexual intercourse encounters to be considered as such. Impotence, as it is known colloquially, can progress from partial to total within a few years until it becomes familiarly irreversible.

Treatment for Erectile Dysfunction has been previously cited in DiabeTV. It includes dietary habits changes, psychological counseling, administration of drugs such as Sildenafil, Tadalafil or Vardenafil and, ultimately, to the placement a prostheses within the penis. On the other hand, ejaculatory disorders are less frequent. This is caused by alterations in the sympathetic nervous system and must be treated under strict medical supervision.

Female sexual dysfunction. It is a decreased sexual desire (libido), anorgasmia (lack of orgasm), and dyspareunia (painful intercourse) due to inadequate vaginal lubrication. We invite you to read the article about how to overcome vaginal dryness posted by DiabeTV.

Genitourinary Neuropathy is one of those complications of diabetes that can be prevented if the basic recommendations known by most diabetic patients are followed. A balanced diet, physical activity, and an adequate glycemic control, together with a routine medical evaluation can spare you from multiple diabetic complications. Those can make your life miserable, lower your self-esteem and affect your quality of life.

http://blog.diabetv.com/what-is-genitourinary-neuropathy/