⋯routine early cord clamping and controlled cord traction are no longer considered essential components of active management (WHO, 2019; Hofmeyr et al. 2015).
值得一讀,對第三產程的討論。
母親自身催產素與點滴給予催產素的異同
How Are They Similar and How Are They Different?
Oxytocin and Pitocin® are identical in chemical structure, which is comprised of a chain of nine amino acids (called a nonapeptide). However, they don’t act on the body in the same way. In addition to causing uterine contractions that help to birth the placenta and prevent PPH, the mother’s oxytocin is also released in the brain, where it reduces anxiety, stress, and pain. This is a major difference between oxytocin and Pitocin®: the birthing person’s own oxytocin levels rise in both blood and brain fluid, but Pitocin® does not cross into the brain because of the blood brain barrier (Meisenberg an Simmons, 1983). Interestingly, researchers are now studying intranasal (nose-to-brain) delivery of synthetic oxytocin as a way of crossing the blood brain barrier and treating different brain diseases (Quintana et al. 2018).
同時也有31部Youtube影片,追蹤數超過1,820的網紅PearlTJI,也在其Youtube影片中提到,HELLO! This is my first video for "30 Days of Makeup" SUBSCRIBE: https://goo.gl/n45DVs MY PERSONAL INSTAGRAM: https://goo.gl/PjPMMF MY MAKEUP INSTAGR...
「nose structure」的推薦目錄:
- 關於nose structure 在 陳鈺萍醫師 Facebook 的精選貼文
- 關於nose structure 在 李木生醫師 Facebook 的精選貼文
- 關於nose structure 在 Celine Wong Facebook 的最佳解答
- 關於nose structure 在 PearlTJI Youtube 的精選貼文
- 關於nose structure 在 MusicNeverSleeps Youtube 的最讚貼文
- 關於nose structure 在 Celeste Chen Youtube 的最佳解答
- 關於nose structure 在 Nose diagram, Nasal cavity, Nose structure - Pinterest 的評價
nose structure 在 李木生醫師 Facebook 的精選貼文
為一位母親看產後傷口,與她閒話家常時她提到擔心小寶寶有鬥雞眼,我雖然知道大部分的時候 亞洲小寶寶「看起來」的鬥雞眼是假性的,我還是請他給小兒科醫師評估過確定不需要轉診眼科,才讓他比較放心 。為此我特別詢問了小兒科與眼科醫師的想法,在此彙整出幾點給大家參考。
>亞裔小朋友的眼瞼內折在靠近鼻子的地方比較寬,造成靠近鼻子部分的眼白被遮蔽住,因此會產生「看起來像鬥雞眼」的假性內斜視。
>假性內斜視的小朋友,眼睛位置是正常的,長大之後也會因為臉型的變化,看起來的鬥雞眼會越來越不明顯。
>利用照相閃光燈,或固定光源,可以比用肉眼更精確的評估眼睛位置。因為角膜上的反射光應處在相同位置,(見圖)這個簡單的檢查叫做Hirschberg Test,是一位姓 Hirshberg 的醫生發明的。
>真正的嬰兒型內斜視其實不常見,歐美的小朋友發生率約為百分之一,而亞洲的小朋友發生率約為千分之一。發生的原因不明,但家族病史,早產兒或腦病變,都有可能增加發生的機率。
>嬰兒型內斜視不僅可能造成弱視,立體視也會受影響。一般建議在2 歲前開刀有比較好的機會保護立體視覺,而弱視必須依靠遮蔽治療。
>極少數的真正內斜視有可能是因為更嚴重的眼睛甚至中樞神經問題,尤其是眼睛轉動有問題時,所以小兒科與眼科的評估很重要。
註)
上圖:假性內斜視-- 角膜光線反射點均在9點鐘方向
下圖 :內斜視-- 角膜光線反射點:右眼約在中點左眼約在3點鐘方向 (取自網路 http://eyerounds.org/cases/124-Infantile-Esotropia.htm)
==================================
I spoke with an anxious mother about her concern of her newborn’s eyes turning in. Although I know that most apparent “eye turns” in Asian babies turn out to be false alarms I still referred her baby to a paediatrician for evaluation. I spoke to a paediatrician and an ophthalmologist since then and gathered a few points which are summarised below:
>Asian babies have wider “epicanthal fold” -- the excess skin fold close to the nose. This skin fold occludes the white part of the eye (sclera) more on the inner corner than the outer corner of the eye thus creating an illusion that the eye turns inwards. This is what we call pseudo-esotropia if the eyes are found to be in the centre position.
>Kids with “pseudo-esotropia” tend to look less “esotropic” when they grow up because your facial structure change a lot during the first 6 years of growth.
>There is a simple test called Hirshberg Test used by doctors to assess alignment of the eyes using a single light source or the flash-light of a camera to create corresponding reflections on the cornea of both eyes. See photos: above - light reflections correspond at 9 o'clock position, below - light reflections do not correspond, one in the centre, the other off centre. image from below is taken from (http://eyerounds.org/cases/124-Infantile-Esotropia.htm)
>A true “infantile esotropia” is rare, occurs in the order of 1 in 1000 for Asian babies (1 in 100 for Caucaisans) for unclear reasons. However, family history, prematurity and some congenital diseases can increase your risk of esotropia.
>Infantile esotropia can cause amblyopia (“lazy eyes”) and affect stereopic vision. Many experts agree that operations before the age of 2 is acceptable to prevent worsening of stereopic vision. Whereas amblyopia requires occlusion therapy to improve vision (not surgery).
>Some rare causes of true esotropia in infants include serious eye and central nervous system disorders. So evaluation by paediatricians and ophthalmologists is important.
nose structure 在 Celine Wong Facebook 的最佳解答
I know many of you are curious and interested about China’s approach to covid-19 quarantine and here’s my personal experience of entry into the current Chinese quarantine system. On the 18th of April, I landed Shanghai at approximately 6:30pm local time, there were only 7 of us on the plane, however we still waited for about fifteen minutes before leaving the plane. What followed was a journey through an elaborate sorting system involving standard customs procedures, sit-down interviews with health officials in full protective attire, multiple temperature checks and reviews of contact, travel history as stated on health questionnaires filled out on the plane and a Covid-19 test where they will insert a stick into our nose and mouth to get some samples. It wasn’t very pleasant . We were then escorted to a bus that followed by a police car which designated to take passenger who traveled from a lower risk country that who also lives in the same suburb to a hotel to await results. The next day, at about 11 am, my result came back negative. The head of the neighbourhood committee for our Shanghai suburb who had been in touch with me via wechat(similar to WhatsApp) through this whole process then arranged designated transportation to take me home, and I was the only passenger on the bus. My home had already been approved for self-quarantine as it is a standalone structure and me and my mom were the only two occupants. Once I have arrived home, there were two police waited at the gate and explained the quarantine rules that I am not allowed to leave home for the following 14 days, infrared sensor will be installed at our door ,designated security guard would deliver our food and deliveries to us and could be left at door, designated cleaner would take our garbage everyday and the medical technicians would check on us twice a day. Not long after the police have left, the medical technician came over and checked my temperature. And there was no charge for any of this! Today is my 7th day of home quarantine,thank you for taking your time out to read my super long caption, this experience was surreal😌 I hope you enjoy my unique experience that I have shared. #covid-19
nose structure 在 PearlTJI Youtube 的精選貼文
HELLO! This is my first video for "30 Days of Makeup"
SUBSCRIBE: https://goo.gl/n45DVs
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I'm going to try to do 30 days of Makeup this year! Wish me luck (i'll need it).
I decided to do this as I need to kick myself in the butt to get started on being creative. Having creative block is one thing but not doing anything about it is just procastinating.
In the first one, I want to show how I use my Fenty Beauty "Trophy Wife" for my face structure. I mean, I can't really use it as highlighter every single day because I am yellow, and this is more for glam look. So I opt to use it as a shadow, and here is my short video on how!
I had a lot of fun with this quick makeup, and I hope you like it!
RULES I'VE SET FOR MYSELF:
• I will be uploading every alternate days, but for once, lets complete 30 days!
• Create the looks on my face, as my features are hooded eyelids, big nose and oval shape face. Aim to understand own features.
• Just have fun with it!
PRODUCTS USED IN THIS TUTORIAL:
• Fenty Beauty - Trophy Wife
• Urban Decay - First Naked Palette ( Buck and Sin)
• DUP Silky Liquid Eyeliner - Natural Brown
• MAC Blusher - Well Dressed
• Lucas Papaw Ointment
• MAC Gloss - Phiff! DazzleGlass
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SOUNDTRACK:
"What You Need" (feat. NÏKA) - BAYNK
https://soundcloud.com/baynk
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As always thanks for watchin' sweet things! x x
nose structure 在 MusicNeverSleeps Youtube 的最讚貼文
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nose structure 在 Celeste Chen Youtube 的最佳解答
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nose structure 在 Nose diagram, Nasal cavity, Nose structure - Pinterest 的推薦與評價
Anatomy. NOSE STRUCTURE - DIAGRAM Maxillary Nerve, Maxillary Sinus, Nose Diagram, Throat Anatomy,. nzsciencelearn. Science Learning Hub. 4k followers. ... <看更多>