Self assessment and review of pediatrics by arvind Arora 8th Edition Ebook PDF download

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Self assessment and review of pediatrics by arvind Arora 8th Edition Ebook PDF download

Self assessment and review of pediatrics by arvind Arora 8th Edition Ebook PDF download

Self assessment and review of pediatrics by arvind Arora 8th Edition Ebook PDF download ownl 8th Edition Ebook PDF download from families with high socioeconomic level usually have better nutritional state. They suffer from fewer infections because of better nutrition and hygienic living conditions. Hunger, undernutrition and infections, often associated with poverty, cause poor growth. Plentiful natural resources encourage industrial and agricultural enterprise in the country. Improved nutrition of children in the community is facilitated when there is a climb in gross national product and per capita income is high. The velocity of growth may alter in different seasons and is usually higher in spring and low in summer months.

Infections and infestations are common in hot and humid climate. Weather also has a pivotal effect on agricultural productivity, ready availability of food and capacity for strenuous labor by the population. Children from broken homes and orphanages do not grow and develop at an optimal rate. Anxiety, insecurity and lack of emotional support and love from the family prejudice the neurochemical regulation of growth hormone release. Parents who had happy childhood and carry a cheerful personality are more likely to have children with similar countenance. Methods of child rearing and infant feeding in the community are determined by cultural habits and conventions. There may be religious taboos against consumption of particular types of food.

These affect the nutritional state and growth performance of children. Mothers with more education are more likely to adopt appropriate health promoting behaviors, Normal Growth and its Disorders -which have direct and indirect influences on growth and development. Consequences of Impaired Growth Maternal and child undernutrition are the underlying cause of 3-5 million deaths annually and account for 35% of the disease burden in children younger than 5 yr. is estimated that India has more than 61 million stunted children, that amounts to 34% of the global total. Several major disorders of later life, including coronary heart disease, hypertension and type 2 diabetes, originate from impaired intrauterine growth and development.

These diseases may be consequences of ‘programming’, whereby a stimulus or insult at a critical, sensitive period of early life has permanent effects on structure, physiology and metabolism. The ‘fetal origins’ hypothesis (Barker hypothesis) proposes that alterations in fetal nutrition and endocrine status result in developmental adaptations that permanently change structure, physiology and metabolism, thereby predisposing individuals to cardiovascular, metabolic and endocrine disease in adult life. As a result, infants born with low birthweight have increased risk of diabetes, hypertension, coronary artery disease and hyperlipidemia in adult life.

Self assessment and review of pediatrics by arvind Arora 8th Edition Ebook PDF download

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