Doctor insights on:
Which is more important in defining the contraceptive efficacy for contraceptive IUDs? The "Cumulative Kaplan Meier Rate" or the "Pearl Index? "
Depends...: In many studies of IUDs there isn't much difference between the two indexes. The CKMR takes into account when the pregnancy happened. In a 5 year study, pregnancies might happen in year 1, 2, 3, 4 & 5. The CKMR will calculate a lower risk for later pregnancies than for earlier pregnancies. The Pearl index would just compute the risk based on total pregnancies over the 5 year period of study. ...Read more
I have read the kaplan & sadock's comprehensive textbook of psychiatry 9th, but confused in memory area, how it works, any help or reference? Best regards
2 Books: I would recommend daniel seagal, md's book the developing mind as well as john raty, md's book a user's guide to the brain. Good explainations and enjoyable to read. ...Read more
Which IUD has the highest efficacy: Mirena, Skyla, or Kyleena? Why is the Kaplan-Meier for Kyleena so much higher than the others at 1.45?
Mirena, Skyla and Kyleena are all over 99% effective. However, Mirena initially releases 20 mcg/day of Levonorgestrel; Kyleena 17.5mcg/day
and Skyla 14mcg/day. The higher dose may give Mirena a slight edge but its unproven. Mirena and Kyleena use is 5 years; Skyla 3 years. Skyla and Kyleena are smaller so insertion is less painful if you've never given birth. Best wishes! ...Read more
Which IUD has the highest efficacy: Mirena, Skyla, or Kyleena? Mirena has a cumulative Kaplan-Meier of. 7, while Skyla has a. 9 and Kyleena has 1.45
Which IUD best?: What is goal of IUD? If to prevent preg 100% none do this. I would ask dr in your area what has worked best and ask of the lady 100 patients how many got preg in his hands, ...Read more
Kallmann's syndrome is a genetic condition characterized by the failure to commence or complete puberty.
It causes hypogonadism (low level of circulating sex related hormones; testosterone in men and estrogen and Progesterone in women) and is accompanied by a total lack of the sense of smell (anosmia) or a heavily reduced sense of smell (hyposmia).
The diagnosis is made by a full endocrine eval. ...Read more
Please my son Wight is 23kg 131cm age 8years-old his basketball kapten told me that he's under Wight what can I do to him?
Diet and exercise: He is only a few kilos under "normal". So long as he has a healthy appetite and is active there is no concern. No everyone fits in the average normals. If he is not eating well and isn't active, which I doubt since he is playing basketball, then he should see his doctor. Otherwise he will grow fine. ...Read more
Biopsy or blood test: Leishmania (kala-azar) is best diagnosed by taking a careful history, including travel to areas where leishmania is found. Many tests are avaialble, choice will depend upon specific symptoms. Consult an infectious disease specialist to help. Tests include: biopsy of spleen, bone marrow, lymph node or skin. Blood test include immnunofloursent assays, PCR www. Ncbi. Nlm. Nih. Gov/pubmedhealth/pmh0002362/. ...Read more
2weeks to 8 months after being bitten by a sandfly you may develop some or all of theses symptoms: chronic non-healing skin sore, breathing difficulty, stuffy nose/nose bleeds, swallowoing difficulties, fatigue, cough, fever, diarrhea, abdominal pain, night sweats, thinning hair, weight loss etc. You will need an infectious disease specialist. Info:
www. Ncbi. Nlm. Nih. Gov/pubmedhealth/pmh0002362/. ...Read more
Multiple Myeloma: Kappa and lamda are classifications of light chains of immunoglobulins in humans. They are part of the "y" shaped arms of your antibodies. This ratio is used to distinguish MGUS or monoclonal gammopathy of undetermined significance from multiple myeloma. High ratio favors Multiple Myeloma ...Read more
•failure to go through puberty
•no sense of smell (anosmia) or very weak ability to smell (hyposmia)
•undescended testes (cryptorchidism) in males
•small penis (microphallus) in males
•menstruation never starts in women (called primary amenorrhea)
•simultaneous movement of both hands (called bimanual synkinesis) affects about one-fifth of males with the disorder
there are other symptoms that. ...Read more
Kala azar: Kala azar = Leishmaniasis, a potentially fatal infection by a protozoan parasite called Leishmania donovani. ...Read more
Few days - 8 months: Kala azar (leishmania) is caused a parasite which is spread by the bite of an infected sandfly. There are several forms of leishmania from different parts of the globe; each has it's own set of symptoms. Travelers are most likely to encounter a chronic, non-healing skin sore. Treatment usually requires the help of an infectious disease specialist. Www. Ncbi. Nlm. Nih. Gov/pubmedhealth/pmh0002362/. ...Read more
There are different forms of leishmaniasis.
Cutaneous leishmaniasis affects the skin and mucous membranes. Skin sores usually start at the site of the sandfly bite. In a few people, sores may develop on mucous membranes. Systemic, or visceral, leishmaniasis affects the entire body. This form occurs 2 - 8 months after a person is bitten by the sandfly. ...Read more
I'm kalyan 21yrs by this nov I'm 5'7.Want to increase my height 3 more inches. Plz anyone help me.?
It also depends on the ratio of kappa to lamda light chains and the presence of polyclonal or monoclonal gammopathy. That is a large amount, while 7mg/l would be normal. Please double check the measurement for grams or milligrams.
If abnormal, it can mean a plasma cell dyscrasia like multiple myeloma, amyloidosis, or Waldenstrom's anemia. Please follow up with the doctor who ordered the test. ...Read more
Http://myeloma. Org/pdfs/U-Freelite-Eng2011_g2web. Pdf:
Go to the website above for good summary of KAPPA and LAMBDA values, and significance;;
Normal levels of serum free light chains are*:
• Kappa: 3.3–19.4 mg/L*
• Lambda: 5.71–26.3 mg/L*
• Kappa/lambda ratio: 0.26–1.65**
*Note: The units here are mg/L; different
laboratories use different units. It is important to
double-check the units used when comparing
numbers in lab values.
**Further Note: In patients with renal impairment,
it is recommended to interpret the results
of the Kappa/Lambda ratio with a modified
reference range of 0.37–3.1. ...Read more