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#BABY CHILD. BABY. UNDER 3 KILOGRAMS.
nursingscience · 9 months
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Human kidney interesting facts
The best analogy for kidneys is an update on your smarphone. Every once in a while, Apple (or Android) want you to update your phone with new features.
It resets your phone, basically giving your phone new life. Same for kidneys.
They clean your blood and keep your body chemically balanced through its filtration system.
the worst part about kidneys? You can't pee without them! Well, you could pee, but it would be harder to pee since kidneys are your filtration system.
And did you know you don't need both kidneys to live?
Here are 15 interesting facts about your kidneys!
1. Kidneys love their blood flow. They reabsorb and redistribute 99% of the blood bolume thoughout the body, leaving the 1% of the filtered blood to become urine.
2. Because they love the flow or blood, kidneys have a higher blood flow compared to the brain and liver.
3. About 25% of all blood from the heart goes into the kidneys.
4. A baby's kidney is huge compared to its body weight. Even though it weighs less than an ounce (28 grame), an average baby weighs 7.d pounds, or 120 ounces (3.4 kilograms).
5. An adult's kidney weghs about 5 ounces (142 grams ) and is the size of a fist.
6. Make sure yo hydrate: the most common cause of kidney stones is not driking enough liquids, especially water. Drink yp! Your kidneys will thank you later.
7. The largest kidneys stone ever recorded was the size of a coconut. It weighed a whopping 2.5 pounds (1.1 kilograms)
8. The right kidney is usually smaller and placed lower in the body than the left kidney. right kidneysits under the liver, the body's largest internal organ, which explains why it's smaller and placed lower in the body.
9. You don't need both kidneys. One-half of a kidney can do the work of two, and 75% of one kidney can sustain life comfortably.
10. If a child is born without a kidney, the other one will grow and weight the some as two kidneys put together.
11. Our filtration system should thank these tiny filtering units called nephrons. They remove harmful toxins and excess fluids from the blood to keep you alive.
12. There are about 1.15 million nephrons in your body. Stretched out from end to end, they are about 5 miles(8 kilometer) long.
13. You can hold anywhere between 50 and 500 milliliters (1.7-17 ounces) of urine in your bladder.
14. What's cooler is the your body waits until your bladder is half-full before you go to the bathroom. Once it reaches the halfway poing, your body sends signals to your brain telling you that it's time to expel the yellow stuff from your system.
15. Kidneys also activate vitamin D in your body -- but only as a last resort. If your skin cells can't receive vitamin D from the Sun, then your liver takes over. And if your liver can't produce vitamine D , your kidneys get the jobs done.
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herniasurgeons · 1 year
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What is the Umbilical Hernia Singapore, and how to treat it
When fatty tissue or intestines protrude through a hole in the abdominal wall at the navel, it is called an Umbilical Hernia Singapore. Hernias can range from mild to severe. A hernia forms when the front abdominal wall under the umbilicus (belly button) is used. Babies and kids often develop Umbilical Hernia Singapore, but adults can have them too. While most cases of umbilical hernia are minor and quickly remedied, complications arise occasionally. What is an umbilical hernia? For adults, umbilical hernias are the second most prevalent type of hernia. They exemplify themselves either three centimeters (cm) above or below a person's navel. Effect on Newborns & toddlers A trusted source says that umbilical hernias are quite prevalent in newborns. Prevalence estimates for African American newborns range from 23.2% to 85.0%Trusted Source, while those for white newborns range from 10.0% to 30.0%. Despite extensive research, medical professionals have not pinpointed what's causing this variation. Premature newborns have an increased risk of developing this hernia. An umbilical hernia affects up to 84% of infants weighing 1 to 1.5 kilograms (kg) at birth. A hole in the uterine wall allows the umbilical cord to reach the developing baby. After giving birth, this should have sealed up. On occasion, the muscles fail to fully seal, creating an opening by which an umbilical hernia might protrude. By the time a child reaches the age of 2, the majority of umbilical hernias will have healed on their own. What factors lead to the development of an umbilical hernia? A hernia forms when the incision in the abdominal muscle through which the umbilical cord passes does not close fully. Despite the name, umbilical hernias are not limited to infants. Infants of African descent, those born prematurely, and those born with a low weight are at an increased risk of having an umbilical hernia. The Cincinnati Children's Hospital Center reports that incidence rates are the same for both boys and girls. When an adult experiences an umbilical hernia, it is typically due to strain on a particularly vulnerable area of abdominal muscle. The following are some possible explanations: • Having a weight problem • Having babies frequently • Twin and triplet pregnancies (having twins, triplets, etc.) • Fluid retention; • Abdominal cavity • Coughing up large amounts of mucus repeatedly The Cure for an Umbilical Hernia By the time a child is 3 or 4, many umbilical hernias have healed independently. It is recommended that surgery be performed if a closure has not occurred by this time. Surgical repair by the Best Hernia Surgeon Singapore may be recommended in younger children if there has been an episode of incarceration or if the hernia is very large. The hernia repair operation is done while the patient is unconscious. The patient's skin is shaved just below the belly button. If there is any intestine in the hernia, it will be reinserted into the abdominal cavity. Multiple layers of stitches are used to close the muscle opening and prevent a recurrence of the hernia. A dressing and/or incision glue may be used to maintain a smooth belly button. Most children can go home a few hours after surgery, but some, like premature infants and kids with serious medical conditions, may need to stay in the hospital overnight. Perspectives on the Future When a hernia is repaired, it usually doesn't open back up again. Nonetheless, patients who develop wound infections after surgery are at a higher risk of recurrence. Umbilical hernias occur when a portion of the intestine pushes through the opening in the abdominal muscles just above the belly button (navel). A majority of people who develop umbilical hernias don't feel any discomfort. Umbilical hernias are the most common in neonates but can occur at any age. A classic sign of a hernia within the umbilical cord is a protrusion of the navel when the newborn cries. As the fetus grows during pregnancy, the umbilical cord enters through a tiny hole in the abdominals to establish a vital connection between mother and child. As the baby develops in the weeks and months following birth, this gap in his or her abdominal muscles will close. There is sometimes a tiny separation where these muscles have not quite met and grown together.
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Some Factors to Consider When Choosing the Best Double Strollers
There is no contention that your kids merit the highest quality that you are available. With regards to twofold strollers, there are countless great quality decisions out there the genuine test is picking the one that will be appropriate for yourself as well as your newborn child or baby. A little information about the items would be of incredible assistance to you.
Two Basic Types of Double Strollers:
There are two essential kinds of twofold strollers-pair and next to each other. Couple umbrella strollers for nyc permit one youngster to situate behind the other. Numerous strollers are planned with carriages that give a better review to the kid sitting in the back seat. The inconvenience is the trouble of moving the stroller in the event that the kids gauge a great deal.
One next to the other strollers, as the name propose, have seats that are situated one next to the other. They are wide and at times can be challenging to move or fit through standard entryways.
A Look at Some of the Best Double Stollers:
You can take great consideration for your child while simultaneously staying in shape. Walk or run with your little ones utilizing the Baby Jogger City Mini Double Black/Gray 87171. This running stroller includes a fast overlap innovation for simple and straightforward lifting and collapsing. It likewise has Universal City Series Accessory Mounting Bracket, 8 inches wheels with steel metal balls and front suspension, a movable 5-point wellbeing outfit with shoulder braces and cushioned clasp cover, and a vented seat lean back with weather conditions cover and a 3-board bubble shade that gives clear view windows. Look at this item under thing number 87171 at amazon.com for $489.99.
A portion of the momentous highlights of Maclaren Twin Triumph 2010 Double Stroller in Coffee/Silver-WEX14013 are removable launderable seat, reduced umbrella crease, lockable, front turn wheels, helpful cross-section shopping bushel, level customizable shoulder outfits, extendable leg rest, convey handle or tie for simple movability, elasticized pockets to hold mosquito nets and downpour covers, 2 free square hoods, 5-point tackle for upgraded security, intelligent accents for wellbeing around evening time, hubcaps, front-wheel suspension, water safe hood, free 5-position lean back and 4.5 inches wheel size.. This stroller has a conveying limit of as much as 110 pounds. Purchase this unit for just $264.95 at strollers.com.
Weave Sport Utility Duallie Double Jogging Stroller-ST073 is awesome for a cutting-edge family who is dependably in a hurry. It highlights fixed front wheels for rough terrain execution, 2-venture overlay up plan for convenience, customizable suspension framework to give your baby a smooth ride, cushioned leaning back seats, back tire foot-initiated stopping brake, hand-enacted front wheel brake, welded and lightweight aluminum outline, solid texture and 2-inch high bumpy tires for prevalent footing. This stroller can be involved by your twin as it has a weight limit of as much as 45 kilograms. It sells at $429.00 yet costs might shift by choices at strollers.com.
This aluminum stroller is suggested for use by children a month and up. The Peg Perego Tender Twin Stroller-Midnight highlights clasp conclusion, removable shelter, vehicle seat secures and locking haggles wheel suspension. This fire-resistant stroller can oblige one baby car seat and folds for a simple vehicle. The aspects are 42 inches high by 23 inches wide by 47.5 inches profundity. This stroller is a take for just $529. at target.com.
Picking the best twofold strollers isn't quite as tedious as it appears. What is significant is you outfitted yourself with the right information about twofold strollers before you do your shopping, ensure that you analyze costs and choices from different providers, and check to assume they accompany a guarantee.
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mcatmemoranda · 2 years
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Things I learned on inpatient Pediatrics on the 1st two days:
Ritalin and Concerta make people pass out. Vyvanse does not as much.
Ampicillin and gentamicin are broad-spectrum antibiotics for pediatric patients.
Palivizumab, sold under the brand name Synagis, is a monoclonal antibody produced by recombinant DNA technology used to prevent severe disease caused by respiratory syncytial virus infections. The pt must meet certain qualifications to be eligible to receive the vaccine.
EBV and CMV the arm most common causes of viral pancreatitis in pediatric patients. Necrotizing fasciitis is a complication of omphalitis. Staph, strep, and gram-negative rods cause omphalitis.
Cefepime covers Staph (MSSA), strep, and gram-negative rods. vancomycin is not needed unless the mother is colonized with MRSA.
Pyelonephritis causes increased CRP in babies.
For febrile babies less than 6 weeks old, get a blood culture, lumbar puncture, and urinalysis; then start empiric antibiotics with gentamicin and ampicillin. If cultures are negative at 36 hours, you can discontinue abxs. Treat for 2 weeks if the patient is not better. GBS can be treated for 10 days.
Ampicillin covers listeria and enterococcus. Gentamicin covers GBS.
Treat for risk of meningitis.
Older kids can get gentamicin and ceftriaxone. One of the patient's has Ewing sarcoma. he is being treated with etoposide and ifosfamide. Then he needed methylene blue for encephalopathy. He needs Neulasta, a GCSF stimulator.
Topics to look up include:
Neuroblastoma
1/3 of children with autism also have epilepsy.
"Reactive airway diseas" should just be called "asthma," because that's what it is. You can diagnose it if a child comes in with wheezing and gets better after you give him an inhaler tx. Kidswho need magnesium infusion go to the ICU. If the patient needs albuterol more than every 2 hours, he goes to the ICU for continuous albuterol at 0.5 milligrams/kilogram/hour via high-flow nasal cannula. Intramuscular epinephrine (EpiPen) can be given x2. Continuous epinephrine (as a pressor) or terbutaline, then intubation. At every point, assess fluid status. Terbutaline works only on beta 1 neta 2--> bronchodilation, increased chronotropy and inotropy. Terbutaline is only used if the patient's blood pressure can buy it because it decreases blood pressure. Most ICU doctors do not use it. It's really bad if the patient needs to be intubated. The problem in asthma is the inability to exhale; a ventilator can only inhale for the patient. So if the patient has to be put on a ventilator, somebody needs to push on the patient's chest to exhale for the patient. Otherwise the patient will become more hypercarbic. So intubation is a last resort.
I had 1 patient who is small for gestational age and hypoglycemic. I think this was to calculate the amount of formula the baby needs. I don't remember:
ml x 1 oz/30 mL x 22 Kcal/oz = Kcal
By 2 weeks old, a newborn should have regained his birth weight.
In a newborn, a blood glucose greater than 50 mg/dL is acceptable.
When discharging a newborn, review with the parent: fever (temp greater than 100.4 F), which requires immediate emergency care; a newborn should make 4-5 wet diapers daily (the amount of stooling varies; some will poop 7 times a day; others may only stool once a week); sleep safety (ABC = Alone, on Back, in Crib); umbilical cord care (do not submerge in water when bathing; it will fall off on its own within 7-10 days and heal;no need to apply anything to it).
Pre-term infants need to have a car seat test where they monitor the pulse ox and the heart rate to make sure the baby does not desaturate or become bradycardic.
I had a patient with croup who was COVID positive. It is not only parainfluenza virus, but also other viruses such as COVID that can cause croup. The patient was admitted because she had biphasic stridor, which is stridor on both inhalation and exhalation. This means that the inflammation was severe enough that if the patient ended up needing intubation, it would have been more difficult to intubate. So the patient was admitted for observation. She was given nebulized racemic epinephrine and dexamethasone. If it weren't for the biphasic stridor, she would been given dexamethasone and released from the ED, not admitted.
For COVID positive babies who can not wear masks, isolation should go on for 10 days beyond the exposure to sick contact.
For my patient with occlusive sickle cell crisis, we gave him maintenance fluids x 1.5. More fluid helps prevent occlusive crises. If the patient had acute chest syndrome, we would be concerned for pulmonary edema, in which case he would not have gotten as much IV fluid. We gave him patient controlled analgesia (PCA) with Dilaudid (hydromorphone) and scheduled ketorolac at 5 mg every 4 hours. With PCA, you see how often the patient uses it and that helps you determine when to start weaning off the PCA and switching to oral narcotics and ibuprofen.
Etoposide can cause leukopenia.
A normal MCV is different in a child than it is in an adult. The hematologist said a normal MCV is "70 plus age," so for a 2-year-old, that would be 72 femtoliters. Microcytic anemias are due to insufficient heme. Macrocytic anemias are due to do DNA problems, myelodysplasia. Normocytic anemias are due to acute blood loss, hemolysis, membrane defects (hereditary spherocytosis), G6PD deficiency, drugs, hemolytic uremic syndrome, autoimmune. Patients with autoimmune hemolytic anemia need to be given blood transfusions at a fast rate. They hemolyze blood quickly. The hematologist said he had a patient who died as they are giving him a transfusion because he was hemolyzing the blood faster than they could give it.
Other labs to consider in anemia include ferritin, total iron binding capacity, % saturation of iron, LDH (which indicates cell turnover), haptoglobin. Patients with sickle cell disease should have an increased reticulocyte count. You can do the Coombs test for patients with autoimmune hemolytic anemia. Bilirubin will also be elevated if there is hemolysis. Mean corpuscular hemoglobin concentration is increased in hereditary spherocytosis. and also do hemoglobin electrophoresis. Sickle cell anemia is generally a normocytic anemia, but it can be macrocytic because of hydroxyurea, which interferes with DNA synthesis.
Toddlers should get less than or equal to 16 oz of milk a day because drinking too much milk means they can't absorb iron as well and they will not want to eat anything else, so they will not have other sources of iron. Cow's milk is meant for cows. It does not have enough iron. Teenage females have iron deficiency because of their periods. Goat's milk diet leads to macrocytic anemia. Small microcytosis is initially seen in iron deficiency anemia.
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wisdomrays · 4 years
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TAFAKKUR: Part 82
How are babies protected?
Did you know that the only place human beings are not exposed to germs, such as bacteria or fungi, is in their mothers’ uterus? Yes, from the moment human beings are born into this world they are exposed to millions of germs. What kind of a system of protection are babies equipped with that, despite all their vulnerability and defenselessness, allows them to survive in this world?
In addition to protecting the infant from life-threatening enemies, the nutrition of a newborn should be suitable for their development and appropriate for their digestive system and sensitive kidneys, which are not ready to accept any ordinary food. If it was up to the parents to design and create the necessary nutrition for babies, what would they do? Would they be able to come up with a formula that would provide the necessary nutrition, protect them from bacteria and viruses, and also be fit for their digestive system? Millions of dollars are spent on infant nutrition, but no one has come up with anything better than mother’s milk.
A diet for a newborn should include the following elements in certain proportions: water, proteins, amino acids, carbohydrates, fats, fatty acids, minerals and vitamins (A, and B with all its subgroups, C, D, E and K).
Water is a major necessity for the human body, being composed of mostly liquid. In the 10th week of pregnancy, 94% of an embryo is liquid, whereas 79% of a newborn is liquid. As the baby reaches its 3rd month, the total liquid in its body is 70%, while at age 1 this amount is reduced to 60%. The amount of total liquid in an adult body is about 55% of the total body-weight, and while the amount of liquid that passes through an adult body daily is about 6% of its total weight, this amount is 4 times higher (25%) in infants. Dehydration can occur very fast in babies. This is why infant nutrition should be high in water. Not surprisingly, breast milk, which pours from the fountain of compassion of the Almighty, is 90% water. Breast milk also contains solid (casein) and soluble (whey) proteins, which are essential for the growth and repair of the body. Casein in breast milk forms much softer clogs and is easier to digest compared to the casein in cow’s milk. Moreover, the whey in breast milk plays an important role in protecting the babies from infections, since it has an anti-infective property. Cow’s milk, for example, does not contain the anti-infective proteins that are essential for human babies. Since their immune system is not yet fully developed, babies are not able to fight off infections, and their defense is provided by breast milk, which acts not only as nutrition, but also as a live fluid that protects babies against infections. There is no formula or food that can replace breast milk, as it contains live macrophage and lymphocytes. (WHO-1993, UNICEF, 1993 – Nutrition–H-1OF)
In sura al-Qasas in the Qur’an we are told of the Pharaoh’s unimaginable cruelty, and how he was punished by God as an admonition. The Pharaoh had been told by a fortuneteller that a baby, a successor of the sons of Ishmael, would be born, and would bring his kingdom to an end. Frightened by this prediction, the Pharaoh commanded that all newborns in the country be killed. At the time, Moses’ mother was pregnant with him. As she gave birth to Moses, her only worry was to protect him from the Pharaoh’s soldiers. At this moment she was guided by divine inspiration:
Suckle (your child), but when you fear for him, cast him into the river and do not fear nor grieve; surely We will bring him back to you and make him one of Our Messengers. (Qasas 28:7)
“Suckle (your child),” or in other words, “breastfeed him,” were God’s words to a mother whose only worry was saving her baby’s life. If one reads the verses preceding and following the above verse carefully, it is clear that the main idea in the verse is to protect the baby. Now, why would such a verse advise the mother to breastfeed? It is because the Pharaoh’s soldiers were not the only threat to the baby. After years of medical research, we now know that an infant’s immune system has not yet developed, and therefore they need to be protected against bacteria and viruses, which in Moses’ story were a more immediate threat to the baby than the Pharaoh. It is certain that the baby would be exposed to bacteria and viruses before the Pharaoh’s soldiers found him. Being under such a great anxiety, a mother might not be able to take good care of cleaning and feeding her baby, which would increase the risk of infection to the baby. For this very reason, God advised Moses’ mother to breastfeed the baby first. It is God Who creates and provides breast milk through the mothers’ body, and He certainly knows that not only is it a source of food and nutrition, but that it also helps to protect the baby against infections. God may, of course, choose to provide direct protection, without requiring breast milk, but then, living in a world of cause and effect, we are reminded of the perfect balance of this universe.
A breastfeeding mother should be free of anxiety and stress, as these will negatively affect the mother’s milk production. (WHO-1993, UNICEF, 1993 – Nutrition–H-1OF) The Qur’an, after advising breastfeeding, continues to comfort the mother “. . . when you fear for him, cast him into the river and do not fear nor grieve; surely We will bring him back to you and make him one of Our Messengers.” Breastfeeding mothers have high levels of prolactin in their boies. As well as stimulating milk production, this hormone also functions as an anti-depressant for the mother. In this context, it is very significant that the mother is advised to breastfeed. It is incredible that a verse that is nearly 1400 years old is perfectly in accordance with the results of 30-years of research on breast milk.
Lactose-another ingredient in breast milk-is a kind of carbohydrate that is suitable for the digestive system of babies. Its slow digestion balances the sugar levels in the baby’s body. Lactose also increases the absorption of calcium. Together with some fat molecules, galactose-a type of molecule found in lactose-forms compounds that are essential for the development of the brain in infants. It also plays a role in the increase of a bacterium called “lactobacillius bifidus” found in the infant’s intestine. These harmless bacteria form the intestinal flora, which eventually protects them from diarrhea. In premature babies, more than 90% of lactose in breast milk is transmitted to the blood through mucous in the intestines after breast feeding. This preventive care can neither be provided by the mother nor is it initiated through the desire or ability of the baby. In addition to having so many benefits for babies, another positive aspect of lactose is that the amount found in breast milk is not affected by the mother’s diet.
There are more than 100 types of sugar, known as Oligosaccharides, found in breast milk. Oligosaccharides and other anti-infective elements in the intestines prevent harmful microorganisms from holding on to the intestines by clinging to them.
Babies get most of the energy they need from the fats found in breast milk, which are easily absorbed in the baby’s intestines. The fat ratio in the breast milk increases at the end of the breast feeding session; this gives the baby a feeling of fullness and prevents overfeeding. In this way, babies are also protected against obesity and other connected health risks that may occur in the future, including heart and vessel diseases, hypertension, diabetes, etc.
The mother’s diet does not affect the quantity or quality of minerals found in breast milk. Breast milk provides as much minerals as the baby needs, using the mineral stocks of the mother. It also contains all the necessary vitamins for the baby’s first month, as well as growth factors, enzymes, and ten other hormones, whose benefits are still unknown.
Breast milk in mothers who give birth to a premature baby is different than regular breast milk; this helps to satisfy the unique needs of a premature baby. In the first few weeks after the birth of a premature baby, the amount of protein in the mother’s breast milk is higher in comparison to that of a mother who delivered full term. A premature baby needs 2 grams of protein per one kilogram of its body weight daily, twice the amount needed by a full term baby. Also the protein quality (casein/whey ratio) of breast milk for a mother who gave birth to an underweight baby is adjusted accordingly: 30% of casein and 70% of whey protein. The fat in breast milk provides 50% of the total calories, which is the ideal combination for underweight babies. The digestion and absorption of this fat, the types of fatty acids, and the distribution of these acids over the triglyceride molecules are perfect.
It is well known that breastfed premature babies have better visual ability, and that long-chained fatty acids, carotene, taurine and vitamin E-all of which are contained in breast milk in perfect ratios-play an important role in visual ability.
The First Two Years of Life and Breastfeeding
One liter of breast milk alone provides 2/3 of all the protein and all of the vitamin A and C an infant needs up to the second year. If a baby can get 1.5 liters of breast milk daily, they will be provided with most of the nutrition they need. This is why breast feeding should continue through to the end of the second year, if possible.
The true value of breast milk has only recently been discovered. In the 1960s, a massive advertising campaign for baby formula was able to “discover” almost every day another element that existed in formula, but was lacking in breast milk. This was broadcast via television, especially in the US. As a result of these scientific (!) findings, mothers were alienated from breast feeding and a formula generation was born, all in the name of “science.”
In 1980, breast milk was recommended for only the first four months of life. It was claimed that after four months, breast milk did not have any nutritional value and was just like water for the baby. In 1986, breast milk was recommended for the first six months. And finally, starting from 1993, breast milk was recommended for the first two years, after it was discovered that even during the second year, breast milk still provides most of the necessary nutrition for infants. A verse from the Qur’an says:
And the mothers should suckle their children for two whole years for him who desires to make complete the time of suckling; and their maintenance and their clothing must be borne by the father on equitable terms. No soul shall have imposed upon it a duty but to the extent of its capacity; neither shall a mother be made to suffer harm on account of her child, nor a father on account of his child, and a similar duty (devolves) on the (father’s) heir, but if both desire weaning by mutual consent and counsel, there is no blame on them. (Baqara 2:233)
Medical researches have just discovered within the last 10 years that breast feeding should continue for two years, yet the Qur’an has been giving us the same advice for 14 centuries. If one is rational, one must agree that no one else but God could have known this so many years ago. And who else could possibly have provided us with such information, information that it would have been impossible to discover with the limited science and medical research of the 7th century?
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birdfeeding · 4 years
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5-10-20
Restrictions on the use of the drug: what are the contraindications?
Not in each case, you can use the drug "Augmentin" for the child. Reviews of experts suggest that some children are allergic to antibiotics of the penicillin series. In this case, the purpose of the described drug is strictly contraindicated. Best place to buy augmentin 875 mg over the counter Also, do not use the tool in the presence of hypersensitivity to any of its components.
It is contraindicated to use the drug "Augmentin" for jaundice or acute liver failure. If previously such a reaction was observed immediately after the use of amoxicillin and clavulanic acid, then the prescription of the drug is unacceptable.
The dosage of Augmentin significantly affects the possibility of its use. Tablets are never used in children under 12 years of age. For this form of medicine, the patient must have a body weight of more than 40 kilograms. The drug in the form of a suspension is not prescribed for babies up to 3 months.
It is contraindicated to use the drug in acute renal failure or impaired function of this organ. Do not prescribe medication to people with phenylketonuria. Please note that the syrup for internal use contains sugar.
Complications
A serious complication of chronic tonsillitis is recurrent sleep apnea. This complication is the basis for indications of tonsillectomy. Ultimately, the decision to remove the tonsils depends on several factors, including your ability to attend work or school, your symptoms, and any complications..
Tablets are administered orally, it is better to do this at the beginning of a meal. http://gskpro.com/en-mt/products/augmentin/dosage-and-administration/ 
So you can achieve optimal absorption and minimize the risk of side effects from the gastrointestinal tract.
Only the doctor can choose the dosage regimen, while he is guided by the severity of the infection, the body weight and age of the patient, as well as the condition of his kidneys.
Step-by-step therapy is sometimes prescribed; it begins with intravenous administration, which is gradually replaced by oral administration. Adults and children over 12 years of age, whose mass exceeds 40 kg, can not take more than 6000 mg of amoxicillin and 600 mg of clavulanic acid daily.
The duration of treatment varies from five to 14 days. After the maximum period, the doctor conducts a second examination of the patient, prolonging the course if necessary. Patients with acute otitis media without complications recover in five to seven days.
The dose of the drug must be adjusted if the patient has impaired renal function. First of all, pay attention to the value of creatinine clearance. Correction is also necessary for patients who are prescribed dialysis sessions.
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authorlmfletcher · 5 years
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For Adrien AUG-reste: Day 27
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For @adrienaugust
Warning in advance: This story may require a supply of tissues.
If you prefer, you can follow along on Ao3 or on FFnet.
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                                      __________________________
DADRIEN
Marinette chuckled at his silly use of words in his title for the entry she was reading. In truth, she had wondered when he was going to write about the kids because everyone who knew Adrien Agreste as a father knew that his children were his life.
The face of their newborn child is one of the most beautiful things a parent can experience - I know that now. I was blessed with that experience three times!
Emma was born a day past her due date. Marinette had been lamenting over the fact that she was still pregnant - her feet swollen and her whole self exhausted. I remember her deciding to take a shower so I decided to play some video games for a bit. We spent the afternoon just snuggling on the couch as she watched me run my character around doing quests.
I think her first contraction started around 4pm, but we waited patiently, sure it would take hours. Emma, on the other hand, wasn't really interested in hours. Poor Marinette. The next 2 hours were hard on her. Everyone kept telling her that she'd be fine and to just wait. She just lay on the bathroom floor saying she wasn't sure if she was dying or in labour.
The midwives came around 8pm. And at 8:20 - Emma was here.
My heart exploded. She was so small and so perfect. I had no idea something so little could be so loud. But she was so sweet.
I remember holding her and shaking so badly that Marinette told me to sit down so I wouldn't drop her. There, in my arms, was my baby. MY baby.
I don't know if Marinette ever realized how terrified I was. How I had nightmares about being my father - cold and distant and closed off from my children, controlling their lives instead of being part of them. Looking down at Emma, I made a decision that every single day of their lives I would be involved.
I had no idea how to do that. I had no idea how to do anything with kids. I'd never really been around kids. Marinette had to teach me everything, but I tried. I learned how to do diapers, how to make baby food, how to play with them, everything.
By the time that Louis arrived 2 years later, I felt like a master.
Except that Louis was a whole other experience than Emma. Emma was a happy-go-lucky little thing who was curious about everything and gentle as a mouse. Louis… was a fireball.
He arrived in a hurry! And 3 weeks early.
We'd just managed to get Emma to bed and sat down to play a video game together. Suddenly Marinette squawked because her water broke. It was only 9pm. We totally weren't ready yet. I remember both of us running around making phone calls and throwing baby clothes into the laundry and installing the baby car seat in the car and panicking. But she didn't go into labour.
Tom and Sabine arrived at 1:30am. Marinette had just started feeling like she might be in labour. At 2, the contractions were bad. The midwives didn't make it. Louis was born in the front entrance at 2:20am. Somehow I managed to catch him. He was so teeny. Like 2 and half kilograms! I thought for sure I was going to break him.
Louis was a challenge - he cried so much. Screamed about everything. I spent too many nights marching that little boy up and down the hallway hoping he'd sleep soon.
By Hugo, I was definitely a pro. And I caught that kid too, because apparently, my children are impatient - not that I have any idea where they got that from….
Hugo was the biggest of our babies. Thankfully, he was the easiest baby of them all.
We homeschooled. I don't regret it at all. It was a decision that Marinette and I made together because I couldn't bear the thought of the kids being gone so much of the day! They were too important to me. But we had to make sure it didn't turn into my childhood all over again.
We did it so differently. Museums, field trips, so many projects and fun activities, laying out under the stars, and belonging to a community of other homeschooled kids so they could have friends. So many friends. There were friends here almost every weekend for sleepovers, I swear.
And I loved it more than anything. Watching the excitement in their faces every time they learned something new.
And now, they are all grown. How did that happen?!
I have grandchildren! 6 of them. 4 boys (Charles, Gabriel, Thomas, and little Sebastien) and 2 girls (Emilie and Celeste). It has been a wonder watching my children be parents, watching these new lives grow.
I've been incredibly blessed. I'm thankful every day that I am not my father, that I'm an important part (and maybe sometimes an overly involved part?) of my children's lives.
They are the most miraculous things I've ever had the honour to hold. And that's saying a lot. Considering I was once a superhero with superpowers…..
She had to close the book because her mind was playing back memory after memory.
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finnishfun · 6 years
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I hope this hasn’t been done yet! Inspired by the Finnish list by @languagesandshootingstars​ and original post here
kutya - dog macska - cat hal - fish madár - bird tehén - cow disznó, malac - pig egér - mouse ló - horse szárny - wing állat - animal vonat - train repülő(gép) - plane autó, kocsi - car teherautó, kamion - truck bicikli, kerékpár - bicycle busz - bus csónak - boat hajó - ship gumi - tire benzin - gasoline motor - engine jegy - ticket közlekedés - transportation város - city, town ház - house lakás - apartment út - way, road utca - street, road repülőtér - airport vasútállomás - train station híd - bridge hotel - hotel étterem - restaurant farm - farm bíróság - court(room) iskola - school iroda - office szoba - room egyetem - university klub - club bár - bar park - park tábor - camp bolt, üzlet - store, shop színház - theater könyvtár - library kórház - hospital templom - church piac - market föld - country; ground; soil; Earth épület - building (világ)űr - (outer) space bank - bank hely(szín) - location kalap - hat ruha - dress öltöny - suit szoknya - skirt ing - shirt póló - t-shirt nadrág - pants cipő - shoes zseb - pocket kabát - coat folt - stain ruhák (plural) - clothing piros - red zöld - green kék - blue sárga - yellow barna - brown rózsaszín - pink lila - purple narancssárga - orange fekete - black fehér - white szürke - grey világos - light sötét - dark szín - colour fiú - boy; son lány - daughter anya - mother apa - father szülő - parent (kis)baba, bébi - baby férfi - man férj - husband nő - woman fiútestvér - brother báty - older brother öcs - younger brother lánytestvér - sister nővér - older sister húg - younger sister család - family nagypapa - grandfather nagymama - grandmother feleség - wife király - king királynő - queen elnök - president szomszéd - neighbour gyerek - child felnőtt - adult ember - human barát - (close) friend haver - (casual) friend áldozat - victim játékos - player rajongó - fan tömeg - crowd ember, személy - person tanár - teacher tanuló, diák - student ügyvéd - lawyer orvos, doktor - doctor beteg, páciens - patient pincér - waiter titkár(nő) - secretary (male/female) pap - priest rendőr - police hadsereg - army katona - soldier művész - artist író - author menedzser - manager riporter - reporter színész - actor munka, állás - job vallás - religion menny(ország) - heaven pokol - hell halál - death gyógyszer - medicine pénz - money dollár - dollar számla - bill házasság - marriage esküvő - wedding csapat - team faj - race szex - sex nem - gender, sex gyilkosság - murder börtön - prison technológia - technology energia - energy háború - war béke - peace támadás - attack választás - election magazin - magazine újság - newspaper méreg - poison fegyver - gun sport - sport verseny - race; competition mozgás, torna - exercise labda - ball játék - game ár - price szerződés - contract drog - drug jel - sign tudomány - science Isten - God együttes, zenekar - band dal, ének - song hangszer - instrument zene - music film - movie művészet - art kávé - coffee tea - tea bor - wine sör - beer gyümölcslé - juice víz - water tej - milk ital - drink, beverage tojás - egg sajt - cheese kenyér - bread leves - soup torta, sütemény - cake csirke(hús) - chicken disznó(hús) - pork marha(hús) - beef hús - meat alma - apple banán - banana narancs - orange citrom - lemon kukorica - corn rizs - rice olaj - oil mag - seed kés - knife kanál - spoon villa - fork tányér - plate csésze - cup reggeli - breakfast ebéd - lunch vacsora - dinner  cukor - sugar só - salt üveg - bottle étel - food asztal - table szék - chair ágy - bed álom - dream ablak - window ajtó - door hálószoba - bedroom konyha - kitchen fürdőszoba - bathroom ceruza - pencil toll - pen fénykép - photograph szappan - soap könyv - book oldal - page kulcs - key festék - paint levél - letter jegyzet - note (as in “to take notes”) fal - wall papír - paper padló - floor plafon - ceiling tető - roof medence - pool zár - lock telefon - telephone kert - garden udvar - yard tű - needle táska - bag doboz - box ajándék - gift kártya - card gyűrű - ring szerszám - tool óra - clock lámpa - lamp ventillátor - fan mobiltelefon - cellphone hálózat - network számítógép - computer program - program laptop - laptop képernyő - screen fényképezőgép- camera (for photos) (videó)kamera - video camera televízió, tévé - television rádió - radio fej - head nyak - neck arc  - face szakáll - beard haj - hair szem - eye száj - mouth ajak - lip orr - nose fog - tooth fül - ear könny - tear nyelv - tongue; language hát - back lábujj - toe ujj - finger lábfej - foot kéz - hand láb - leg kar - arm váll - shoulder szív - heart vér - blood agy - brain térd - knee izzadtság - sweat betegség - disease csont - bone hang - voice; noise; sound bőr - skin test - body tenger - sea óceán - ocean folyó - river hegy(ség) - mountain eső- rain hó - snow fa - tree; wood nap - sun hold - moon világ - world erdő - forest növény - plant szél - wind virág - flower völgy - valley gyökér - root tó - lake csillag - star fű - grass levél - leaf levegő - air homok - sand part - beach hullám - wave tűz - fire jég - ice sziget - island domb - hill hő - heat természet - nature üveg - glass fém - metal műanyag - plastic kő - stone gyémánt - diamond agyag - clay por - dust arany - gold réz - copper ezüst - silver anyag - material méter - meter centiméter - centimeter kilogramm - kilogram hüvelyk - inch font - pound fél - half kör - circle négyzet - square hőmérséklet - temperature dátum  - date súly - weight szél - edge sarok - corner térkép - map pont - dot mássalhangzó - consonant magánhangzó - vowel fény - light igen - yes nem  - no darab - piece fájdalom - pain sérülés - injury lyuk - hole kép - image minta - pattern főnév - noun ige - verb melléknév - adjective rajta - (on) top alatt - under oldal - side előtt - in front of mög��tt  - behind kint - outside bent - inside fel - up le - down bal - left jobb - right egyenes - straight észak - north dél - south kelet - east nyugat - west irány - direction nyár - summer tavasz - spring tél - winter ősz - autumn évszak - season nulla - 0 egy - 1 kettő - 2 három - 3 négy - 4 öt - 5 hat - 6 hét - 7 nyolc - 8 kilenc - 9 tíz - 10 tizenegy - 11 húsz - 20 huszonegy - 21 harminc - 30 negyven - 40 ötven - 50 hatvan - 60 hetven - 70 nyolcvan - 80 kilencven - 90 száz - 100 kétszáz - 200 ezer - 1000 tízezer - 10000 százezer - 100000 millió - million milliárd - billion első - first második - second harmadik - third negyedik - fourth ötödik - fifth szám - number január - January február - February március - March április - April május - May június - June július - July augusztus - August szeptember- September október - October november - November december - December hétfő - Monday kedd - Tuesday szerda - Wednesday csütörtök - Thursday péntek - Friday szombat - Saturday vasárnap - Sunday év - year hónap  - month hét - week nap - day óra - hour perc - minute másodperc - second reggel - morning délután - afternoon este - evening éjjel - night idő - time dolgozik - to work működik - to work (“function”) játszik - to play (children, games, sports, instruments) sétál - to walk fut - to run vezet - to drive repül - to fly úszik - to swim megy - to go megáll - to stop (moving forward) abbahagy - to stop (doing something) követ - to follow gondolkodik - to think beszél - to speak mond - to say eszik - to eat iszik - to drink öl - to kill meghal - to die mosolyog - to smile nevet - to laugh sír - to cry vesz, vásárol - to buy fizet - to pay elad, árul - to sell lő - to shoot tanul - to learn ugrik - to jump szagol - to smell hall  - to hear hallgat - to listen ízlel - to taste érint - to touch lát - to see néz - to watch csókol - to kiss ég - to burn olvad - to melt ás - to dig robban - to explode ül - to sit áll - to stand szeret - to love vág - to cut veszekszik (verbally), verekedik (physically) - to fight (le)fekszik - to lie (down) táncol - to dance alszik - to sleep felébred - to wake up énekel - to sing számol - to count házasodik - to marry imádkozik - to pray nyer - to win veszít - to lose kever - to mix, to stir hajlít - bend mos -  to wash főz  - to cook nyit - to open zár - to close ír - to write fordul - to turn épít - to build tanít - to teach nő - to grow (by itself) rajzol - to draw etet - to feed elkap - catch (e.g. a ball) dob - to throw tisztít - to clean talál - to find esik - to fall tol, nyom - to push húz - to pull visz - to carry tör - to break visel, hord - to wear lóg - to hang ráz - to shake jelez - to sign üt, ver - to beat emel - to lift magas - tall hosszú - long rövid - short alacsony - short (person); low sekély - shallow (water) széles - wide keskeny - narrow nagy  - big, large kicsi - small, little lassú - slow gyors - fast forró - hot hideg - cold meleg - warm hűvös - cool új - new régi - old (object) öreg - old (person) fiatal - young jó - good rossz - bad nedves, vizes - wet száraz - dry beteg - sick egészséges - healthy hangos - loud halk - quiet boldog - happy szomorú - sad gyönyörű, szép - beautiful ronda, csúnya  - ugly süket - deaf vak - blind kedves - nice gonosz - mean gazdag - rich szegény - poor vastag - thick vékony - thin drága - expensive olcsó - cheap lapos - flat szűk - tight laza - loose magas - high puha - soft kemény - hard mély - deep tiszta - clean koszos - dirty erős - strong gyenge - weak halott - dead élő - alive nehéz - heavy; difficult világos - light sötét - dark nukleáris - nuclear híres - famous én - I te - you ő - she, he az - it mi - we ti - you ők - they ön, maga - you (formal)
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biomedgrid · 3 years
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Biomed Grid | Rat Bite in A 55-Days Old Girl Presenting Without Fever: A Case Report
Introduction
Disease following the bite of a rat has been known for many years and has been described worldwide much more recently as Rat-bite fever (RBF) [1]. RBF is a rare bacterial zoonosis disease which portrayed by fever, arthralgia, and skin rash. In a typical case of RBF, symptoms begin approximately 3 days to 3 weeks after sustaining a rodent bite [2]. It is an unusual age presentation of a rat bite comes without fever. There are a few cases has been reported in children [3-9] and adults as well [10-13].
Streptobacillus moniliformis and Spirillum minus are the two primary pathogens of RBF. They are transmitted by either rat bites or after ingestion of sullied substance or water [14]. It is generally assumed that rats are the natural host and asymptomatic carriers of S.moniliformis. Besides, S. minus has been isolated from the oropharynx, blood, and exudate from infected eyes of up to 25% of wild rats [14]. Living or spending time in areas with rodent infestations has become a greater risk for exposure to wild rats [14]. Also, a child less than five years old living in poverty, pet store workers, and laboratory technicians working with rats are also at high risk [15]. We report an unusual age presentation of an infant with rat-bite without fever. It is significantly important to acknowledge and be aware of the diagnosis in any case of rat-bite when classical symptoms such as fever or rash are missing.
Case Description
A 55 days old girl who was born to a healthy non-consanguineous parent. She is a full-term, part of a twin (twin one) with cesarean delivery, and birth weight of 2.2 kilograms. Pregnancy and delivery were uncomplicated. She is previously healthy and fully vaccinated. Presented to the Pediatric Emergency Department (PED) in Riyadh, Saudi Arabia At King Fahad Medical City (KFMC) after 30 minutes from accidental rodent rat-bite which witnessed by her mother
At the time of presentation to the emergency room (ER), there was no fever, no skin rashes, no abnormal or decrease in movements, no active bleeding or discharges. On physical examination, she was hemodynamically stable, active, and afebrile. The wound is clean, small, superficial and red on the left cheek with scratch marks on the left cheek as well as on the left nostril. No discharges or active bleeding (Figure 1A ). We noted that parents were living in a house near sewage and an under-construction area where rats commonly infested. The patient kept in observation and was given anti-tetanus vaccine before discharge with instructions to the parents to come to the ER if they noticed any fever, rashes or decrease in activity and oral intake. The rat eventually caught dead by one of the family members. On day four of discharge from the emergency room, parents came with a complain that their girl not taking orally well. She was examined and noticed she is active and afebrile with mild dehydration. The patient was admitted for 24 hours of observation under the general pediatric department; no antibiotics have started. Cultures for blood and urine along with basic lab workup as a complete blood count and electrolytes profile was taken. Intravenous fluids have started for hydration. Results of labs were normal, cultures came negative after 5 days incubation. During her hospitalization, she was active, afebrile, and well hydrated. Next day she was discharged home. Follow up after 3 weeks from discharge by phone with her mother, that she progressed nicely, the bite wound started to heal, and had an uncomplicated course (Figure 1B ). The parents provided consent to publish this report.
Figure 1A:The appearance of the rat bite on the baby’s left cheek 30 minutes after witnessing the rat bite
Figure 1B: The healthy-looking left cheek skin 3-weeks following the bite with complete healing
Discussion
RBF was first announced in the United States (US) in 1839. In the mid-1990s, flare-ups of RBF happened and over 200 cases have now been reported in the country [9]. Approximately half to 100% of wild rodents harbor S moniliformis in their respiratory tract [1]. About 1 of every 10 rodent bite may cause infection [16], and roughly 13% of untreated RBF diseases are lethal. Given its low rate and high mortality, little data exists in regard to its pathogenesis [1]. In this report, we described an infant with rat-bite with no fever and asymptomatic, compared to a one case report in Switzerland of an adult diagnosed as RBF without fever. He was presented with polyarthritis and absence of classical signs and symptoms of RBF [11]. However, there are a few studies recently published. As in the US at the University of Michigan, reported an unusual presentation of a case of a 15-month-old boy with intermittent fever, rash, and refusal to bear weight which diagnosed by isolated anaerobic joint fluid culture showed Streptobacillus moniliformis [8]. Also, it could be fatal as a case reported from San Diego Health and Human Services Agency in US. A 10 years old male who owned pet rats. Two days before his death he was experiencing the classic symptoms of RBF [17].
Physicians should be aware of the diagnosis in any case of ratbite when classical symptoms such as fever or rash are missing also when the exposure history is suggestive. Who lives near sewages or under construction areas they are at high risk of rat bites and should be aware of the rats and avoid touching them. They should also seek immediate medical care after having symptoms consistent with RBF [16,17].
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Read More About this Article: https://biomedgrid.com/fulltext/volume5/rat-bite-in-a-55-days-old-girl-presenting-without-fever-a-case-report.000932.php
For more about: Journals on Biomedical Science :Biomed Grid | Current Issue
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todaybirthday-blog · 4 years
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Amitabh Bachchan Biography, Height, Age, Weight, Birthdate & Other
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In This Amitabh Bachchan Biography  all detail like Height , Weight , Birthdate and Other Detail…. Biography of Amitabh Bachchan Real Name Amitabh Harivansh Rai Shrivastava Nick Name Munna, Big B, Angry Young Man, AB Sr., Amith, Shahenshah of Bollywood Profession Actor Physical Status & More of Amitabh Bachchan Height in centimeters- 188 cm in meters- 1.88 m in Feet Inches- 6’ 2” Weight in Kilograms- 80 kg in Pounds- 176 lbs Body Measurements Chest: 42 Inches Waist: 34 Inches Biceps: 13 Inches Eye Color Black Hair Color Salt & Pepper Personal Life of Amitabh Bachchan Date of Birth 11 October 1942 Age 78 Years Birth Place Allahabad, United Provinces (now Uttar Pradesh), British India Nationality Indian Hometown Allahabad, Uttar Pradesh (presently lives in Mumbai) School Jnana Pramodhini, Boys High School, Allahabad College Sherwood College, Nainital, India Kirori Mal College, New Delhi, India Education Qualifications Bachelor of Science Debut Film- Saat Hindustani (1969) Television- Kaun Banega Crorepati (KBC)- 2000 Family Father- Harivansh Rai Bachchan, Poet Mother- Teji Bachchan, Shyama (step-mother) Brother- Ajitabh Bachchan Best Friends N/A Religion Hinduism Home Address Jalsa, B/2, Kapol Housing Society, VL Mehta Road, Juhu, Mumbai – 400049, Maharashtra, India Hobbies Singing, Blogging, Reading Like &DisLike Like:Collecting Pens, Travelling to London & Switzerland DisLike: He hates the word Bollywood and Beti B (for her granddaughter) Favourite Things Of Amitabh Bachchan Favourite Food Bhindi Sabzi, Jalebi, Kheer Favourite Actress Waheeda Rehman Favourite Actor Dilip Kumar Favourite Film Kagaz Ke Phool, Gone With The Wind, Ganga Jamuna, Black, Godfather, Scarface, Pyasa Favourite Colour White Favourite Sports Cricket Favourite Song N/A Favourite Destination London, Switzerland Favourite Book Madhushala by Harivansh Rai Bachchan Girls , Affairs and More Of  Amitabh Bachchan Marital Status Married Affairs Late Parveen Babi, Indian Actress Rekha, Indian Actress Wife Jaya Bhaduri Bachchan, Indian Politician & Former Indian Actress Marriage Date 3 June 1973 Children Son- Abhishek Bachchan (Actor) Daughter- Shweta Bachchan-Nanda Style Of  Amitabh Bachchan Cars Collection Bentley Arnage R, Bentley Continental GT, Lexus LX 470, Mercedes-Benz SL 500 AMG, Porche Cayman S, Range Rover SUV, Mini Cooper, Rolls Royce Phantom, Toyota Land Cruiser, BMW 760Li, BMW X5, Mercedes Benz S320, Mercedes Benz S600, Mercedes Benz E240 Bikes Collection N/A Earning Money of Amitabh Bachchan Net Worth $400 million (approx.) Salary per Film 20 Crores/film (INR) Bollywood actor Amitabh Bachchan is known for his roles in action movies like 'Zanjeer,' and for hosting the Indian version of 'Who Wants to Be a Millionaire?' Amitabh Bachchan is a Bollywood actor who, in 1969, debuted in Saat Hindustani. His role in 1972's Zanjeer made him an action movie star. In the 1980s, Bachchan held a seat in the Indian Parliament. In the 1990s, he started his own production company. He returned to acting in 1997, with Mrityudaata. In 2000, he began hosting the Indian version of Who Wants to Be a Millionaire?. He was cast in Saat Hindustani. He got a break in Bollywood after a letter of introduction from the Prime Minister Mrs. Indira Gandhi, as he was a friend of her son Rajiv Gandhi. This is how he made his entry into Bollywood. He got married to Jaya Bhaduri. They have two children, Shweta and Abhishek. Bachchan was born in Allahabad. His ancestors on his father's side came from a village called Babupatti, in the Raniganj tehsil, in the Pratapgarh district, in the present-day state of Uttar Pradesh, in India. His mother, Teji Bachchan, was a social activist and Punjabi Sikh woman from Lyallpur, Punjab, British India (present-day Faisalabad, Punjab, Pakistan). His father, Harivansh Rai Bachchan was an Awadhi Hindu. His father was a poet, who was fluent in Awadhi, Hindi and Urdu. Bachchan was initially named Inquilaab, inspired by the phrase Inquilab Zindabad (which translates into English as "Long live the revolution") popularly used during the Indian independence struggle. However, at the suggestion of fellow poet Sumitranandan Pant, Harivansh Rai changed the boy's name to Amitabh, which, according to a The Times of India article, means "the light that will never die". Although his surname was Shrivastava, Amitabh's father had adopted the pen name Bachchan ("child-like" in colloquial Hindi), under which he published all of his works. It is with this last name that Amitabh debuted in films and for all other practical purposes, Bachchan has become the surname for all of his immediate family. Bachchan's father died in 2003, and his mother in 2007. n 1969, Bachchan made his film debut as a voice narrator in Mrinal Se’s National Award winning film Bhuvan Shome. Thereafter he got his first acting role as one of the seven protagonists in ‘Saat Hindustani’ and even though the film was not a financial success, Bachchan won his first National Film Award for Best Newcomer. Bachchan from then on starred in a number of films which became huge box-office hits like ‘Anand’, ‘Zanjeer’, ‘Deewar’ and ‘Sholay’ with the latter becoming the highest grossing film of all time in India, earning INR 2,36,45,00,000. Bachchan in this film played the role of Jaidev and in 1999, BBC India declared it the “Film of the Millennium’ and like Dewaar, has been cited by Indiatimes movies as amongst the Top 25 Must See Bollywood Films.   Read the full article
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[DRABBLE REQUEST] Dad!Hoshi (G)
Request: Celebrating Fathers’ Day with Soonyoung and his three little munchkins Requested by: @keshuasd​ Word count: 2,020  Genre: Fluff Warnings: Way. Too. Much. Sugar.
A/N: Okay, this was originally Admin Jihooned’s request... Somehow, I ended up writing basically 90% of it. But anyway, HAPPY FATHERS’ DAY! A huge thank you to all the fathers/father figures of us Carats out there, for tolerating with all the nonsense their children had put them through. THANK YOU FOR RAISING US! WE LOVE YOU!
wooed<3
Hi guys! So this request was supposed to be handled by me initially but I got so caught up with the dwc series so admin wooed pretty much took over! So a big big thanks to her! And happy father’s day to all the fathers out there! (Btw imagining Hoshi as a dad makes me so so so soft on so many levels i nearly died reading admin wooed’s writing.)
- jihooned 😶
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Soonyoung wasn’t sure what woke him up that morning at 7AM. The curtains were closed to prevent the sun rays from entering the room, the roads outside their apartment on the 14th storey were quiet for it was a Sunday morning, and his entire family was snoozing peacefully beside him.
Oh, his entire family of five… Now he remembered. A smile began to spread across his drowsy face as he recalled that it was a Sunday: Fathers’ Day. His three precious angels had thrown their tiny bodies onto the bed promptly at midnight, tackling him against the sheets while wishing him a happy Fathers’ Day before accidentally falling asleep in the master’s bedroom, but he hadn’t really minded or bore to wake them up.
Truth to be told, he never really cared for an occasion like Fathers’ Day. He’s always believed that the appreciation for your loved ones should be evident in everyday life and not reserved for a special occasion.
And with his family, in which he’s blessed with a loving, supportive wife and three wondrous offspring, every day feels like Fathers’ Day to him.
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His eyes crinkled into crescent moons as he admired the beautiful sight before him. There were his older two laying spread-eagled at the very ends of the bed that stretched from one wall of the room to another. His youngest son was snugly tucked in the middle, accompanied by his favourite plush toy. And spooning his youngest child from behind… was you, his beloved wife.
Though he’s been married to you for just a short period of six years, how breathtakingly pretty you could look asleep dressed in a simple oversized shirt with tousled hair never ceased to amaze him.
He’s always heard from pessimistic couples that the flames between husband and wife would start to fizz a couple of years into wedlock, yet he has felt no such thing. You’re still as lovey-dovey as ever, even while coping with the taxing feat of raising three children.
He enjoyed a few moments of peace from admiring his family before his little Hayul started to fuss and writhe. His tiny pair of eyebrows crinkle in discomfort as he stirs into awakening. Soonyoung reacts immediately, knowing that it’s only seconds before he starts full-on crying, reaching over to rub soothing circles against the skin of his son’s back.
He didn’t want Hayul’s fussing to disturb you in your sleep, especially since you’ve stayed up late cleaning the house the night before. You had the mommy instincts of a cheetah, Soonyoung often liked to joke; your eyes would snap open with every cry or whine your children (or in some special cases, Soonyoung himself) made. After all, your maternal abilities have been honed by your rambunctious older son Harang and oldest daughter Haeum before him.
“Shh, Hayul, Daddy’s here… Go back to sleep.”
He sighs in relief when Hayul visibly relaxes and his eyes flutter shut once more. Pulling his beloved baby boy into his bosom and lets himself be lulled back into dreamland by the chorus of his wife and children’s synchronised breathing
He falls back asleep with a blissful grin on his face, excitedly awaiting to spend the day with the ones he love.
“Dad, Daddy! Wake up!”
The breath drove out of Soonyoung’s lungs as he feels a 20-some kilogram weight slam against him at full force.
His fight or flight response almost made him snap his eyes open, sit up and throw the sudden weight off of him, but his fatherly instincts immediately override it. Gently but drowsily, he pulled himself to a sitting position and cradled his little girl in his lap.
“Awake already, Haeum?” he cooed at the six-year-old, his already-small eyes brimming with affection. His hand ran his fingers through his daughter’s unkempt bed hair, smoothing out the knotty strands.
His daughter flashed her equally tiny eyes at him. “Yeah, we have been awake for hours already. Harang, Hayul and Mommy and I, while still you’re sleeping in.”
He said nothing but smiled knowingly.
“Oh, yeah,” his daughter straightens her back, leaning in to plant a wet smooch on her father’s right cheek. “Happy Fathers’ Day, Daddy.”
“You’ve wished me last night, but I’ll still accept it,” he replies, rewarding her with a playful pinch of her chubby cheeks. “Thank you very much, Haeum.”
Haeum beamed, showing him a goofy, toothless grin before clambering off her father. Soonyoung let out a yawn and popped the bones in his spine. As he stretched his legs off the mattress towards the hardwood floor, his daughter cried out again, her hand outstretched.
“Daddy, don’t come! You have to stay there!”
Startled, Soonyoung withdrew his feet back onto the bed as though scorched by hot lava. “What’s wrong?”
His beloved first-born merely darts out of the room with a cheeky grin. “It’s a surprise!”
Deciding to humour her, Soonyoung tucks his body back under the covers. “Whatever you say, honey.”
Folding his hands at the back of his head, he started to hum a restless rhythm while knocking his toes together. Idly, he focused his attention on the clamour that’s going on outside the bedroom. From the sounds of it, the rest of his family were most probably in the kitchen.
Uh oh, that never ends well.
Soonyoung raised a questioning eyebrow and the rather loud clatter of a plastic bowl hitting the floor. Thankfully it sounded hollow and empty enough to not cause substantial damage.
“Hayul, look what you’ve done! Pick it up, now!” That was the annoyed yawp from his second-born Harang. The four-year-old’s already an outspoken individual that constantly sought validation by looking out for -- or in other case, bossing -- his little brother.
“Alright, Harang, there’s no need to yell at your brother like that.” At the sound of your voice, Soonyoung considerably soothed. Nothing could possibly go wrong as long as you were there with them.
“I’m telling you-” That was the insisting voice of his daughter. “Dad likes chocolate syrup on his waffles the best!”
“No!” protested his second son. “He wants strawberry jam!”
“Chocolate!”
“Strawberry!”
“Chocolate!”
“I like them together!” Soonyoung quickly interjected, projecting his voice out of the room and (hopefully) cutting off the brewing sibling spat. And fortunately, the squabbling ceased, and Soonyoung happily settled back into his pillow.
Moments later, the three kids barged into the room, with Haeum holding a plate of neatly stacked waffles (slathered with a generous, borderline copious, amounts of sweet-smelling brown and red condiments) and the two boys trailing behind holding presents. Soonyoung immediately threw the blanket off him and sat at the edge of the bed, opening his arms to welcome his little angels.
“Happy Father’s Day!” they chorused in unison, handing the plate of waffles to Soonyoung’s hands.
The waffles were clearly handmade, there were parts which were slightly burnt. It looked like it was meant to be some sort of smiley face, with two long gummy worms stretched and angled towards the middle to form his signature 10:10 eyes and a curved row of marshmallows at the bottom (made by you, no doubt). But the haphazard array of rainbow sprinkles, jam, chocolate and whipped cream made it hard to tell.
Nonetheless, they were still perfect waffles to him.
Soonyoung also noticed small portions of the waffles gone and he raised his eyebrow.
“Harang couldn’t wait.” You chuckled. The culprit looked up at his father, evidence of his “crime” still smudged across his chubby cheeks.
Still perfect waffles.
Soonyoung grabbed the fork and knife that rested neatly at the side of the plate and cut the waffle into 5 pieces, one each for a member of his family. He fed Hayul first, giggling at how the youngest was trying to find ways to fit the giant waffle slice into his small mouth.
Harang was getting impatient, constantly tugging onto his father’s sleeve and whining about how he wanted his slice of waffle too.
Soonyoung could barely contain his thousand-watt smile when he pushed the fork into the waffles, taking a bite for himself. The amount of sugar was overwhelming enough to make even the sweet toothed cringe, but Soonyoung thought it was the most delicious waffles he had ever eaten.
“Honey!” Soonyoung jumped in surprise at your desolate-sounding cry. He looked up to see you pointing your smartphone at his direction. “You shouldn’t have eaten it yet, I wanted to take a picture of it…”
He blinked cluelessly. “The waffles? What for?”
“You know, it’s something our kids made with their own hands. I thought you would want to show it off to your family and friends.”
Soonyoung let out an ‘ah’ of understanding before shaking his head with a chuckle. “There’s no need to show this off to other people. I’m perfectly happy like this, with all of you.” he explained. “And besides, you know how they say that the best camera you’ll ever have is your own pair of eyes? I won’t forget this moment for as long as I live, that I will guarantee you.”
“Gosh, you’re so mushy,” you groaned, but you eventually lose the battle of repressing the laughter bubbling within you. Soonyoung opened his arms, allowing you to nestle in comfortably between his legs. Your husband offered you a bite of his breakfast, and you gratefully partook, ignoring the explosion of sweetness invading your tastebuds.
“Good, isn’t it?” Haeum chirped, laying down on her belly and watching her parents with her head propped on her hands.
Your two boys watched you with a familiar glint in their eyes. Well, it wasn’t you they were eyeing, you noticed with an amused snort. Soonyoung noticed it too, holding out the plate in his hands.
“Want some more?” Two-year-old Hayul was clambering all over the both of you even before Soonyoung could finish his sentence, his jaws parted as he awaited his father’s generous offering.
You jabbed your husband in the ribs immediately but subtly. “It’s going to be a war zone when I put them to bed tonight. We never let them get this much sugar,” you hissed.
Soonyoung shrugged good-naturedly, putting down the now-empty plate on the nightstand. “Let them have their fun. When else would they get to make their own food?”
You sighed with a pout. “You’re spoiling them, Kwon Soonyoung.”
He reached over to wipe a smidge of jam off your cheeks before sucking the residue off his thumb. “Don’t worry,” he assured you. “I’ll be there with you tonight.”s
“You got the day off?” you wondered hopefully, your eyes growing bigger at the prospect, but to your disappointment, Soonyoung shook his head. “No, but we did have an unanimous decision to spend the evening and night with our families. Seungchul hasn’t seen his precious daughter Sowon in a week, and I might go mad if I ever hear Jihoon going off about how well his three-year-old Rowoon is doing on the guitar. And lord knows how Wonwoo’s wife is managing his monstrous triplets.”
You laughed, but it’s hard to hide the heaviness in your voice. “I guess you better get going soon, then.”
Noticing how forlorn you looked, Soonyoung softened. Ever so gently, he cupped the sides of your face with his hands, prompting you to look directly into his eyes. “I promise, I’ll be there.”
Knowing that your husband never goes back on his words, you eventually relented, giving him a playful poke on his nose. “Alright, go wash up or you’ll be late.”
“Aw, Mommy and Daddy love each other!” Haeum cheered, apparently eavesdropping on your exchange. Hayul stared, innocently doe-eyed at his parents, while Harang had his nose scrunched up in playful disgust.
“Alright kids, be nice to mummy, we’ll head down to the carnival once I’m done with work okay.” Soonyoung announced as he huddled the kids and you into a warm hug.
“Yes Daddy, fighting!”
Soonyoung’s smile rose all the way to his eyes, he adored his family to bits, and he could not imagine how dull a life he would have had if it weren’t for all of you.
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guitarpanda8 · 5 years
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Polish pediatric center: 40 percent took vitamin D – March 2019
Note: 40 ng in the summer for those children taking vitamin D Infant-Child category has
Having a good level of vitamin D cuts in half the amount of:
Need even more IUs of vitamin D to get a good level if;
Have little vitamin D: premie, twin, mother did not get much sun access
Get little vitamin D: dark skin, little access to sun
Vitamin D is consumed faster than normal due to sickness
Older (need at least 100 IU/kilogram, far more if obese)
Not get any vitamin D from formula (breast fed) or (fortified) milk Note – formula does not even provide 400 IU of vitamin D daily
Infants-Children need Vitamin D
Getting Vitamin D into infants
Many infants reject vitamin D drops, even when put on nipple I speculate that the rejection is due to one or more of: additives, taste, and oils. Infants have a hard time digesting oils, 1999  1997   and palm oils W.A. Price 1 2 3 Coconut oil, such as in D-Drops, is digested by infants. 1,   2   3 Bio-Tech Pharmacal Vitamin D has NO additves, taste, oil One capsule of 50,000 Bio-Tech Pharmacal Vitamin D could be stirred into monthly formula    this would result in ~1,600 IUs per day for infant, and higher dose with weight/age/formula consumption
522 items in the category Infant/Child See also
breastfed 962 items as of Sept 2017
"BIRTH DEFECTS" 172 items as of July 2016
Stunting OR “low birth weight” OR LBW OR preemie OR preemies OR preterm 1940 items as of Oct 2018
"SUDDEN INFANT DEATH" OR SIDS 177 items as of Nov 2018
Overview of Rickets and Vitamin D
Youth category listing has 140 items along with related searches
Infant-Child Intervention trials using Vitamin D:
Preterm babies have low vitamin D, but recover in 6 weeks with 800 IU supplementation – Jan 2019
1200 IU vs 400 IU of vitamin D did not improve bone health or immunity of children who were sufficient – RCT July 2018
Childhood Respiratory Health hardly improved with 600 IU of vitamin D (need much more) – May 2018
430 genes changed when 3,800 IU Vitamin D added in late second trimester – RCT May 2018
Severe Non-Alcoholic fatty liver disease treated by Omega-3 – RCT April 2018
400 IU of Vitamin D provided no benefit to children (not a surprise) – RCT March 2018
Allergic rhinitis in children reduced somewhat during pollen season by just 1,000 IU of vitamin D – RCT Jan 2018
Influenza -A infections half as often in children getting 1200 IU of vitamin D – RCT Jan 2018
Risk of infant Asthma cut in half if mother supplemented Vitamin D to get more than 30 ng – RCT Oct 2017
Preemies getting 800 IU of vitamin D were 3X less likely to have low bone density 4 weeks later – RCT Oct 2017
Preemies need 1,000 IU of vitamin D – RCT Sept 2017
Fatty liver disease in children nicely treated by combination of Vitamin D and Omega-3 – RCT Dec 2016
Vitamin D needed to get children to just 20 ng in winter 800 IU white skin, 1100 IU dark (Sweden) – RCT June 2017
Childhood asthma problems eliminated for months by 600,000 IU of Vitamin D – June 2017
Breastfeeding mothers and Vitamin D: supplement only themselves usually, 4 out of 10 used monthly rather than daily – Jan 2017
Premature infants (30 weeks) who got 800-1000 IU of vitamin D were much healthier – March 2017
Newborn Vitamin D - single dose is better than daily – RCT Sept 2016
Mother got 100,000 IU of vitamin D monthly, breastfeeding infant got a little – RCT Aug 2016
Monthly 120,000 IU of Vitamin D during lactation worked well - May 2016
Infant infection reduced by half with vitamin D supplementation – RCT May 2016
Five times less mite allergy when vitamin D added in mid pregnancy and to infant – RCT April 2016
Vitamin D improved child muscle mass even without varying dose with weight – RCT Feb 2016
Breastfeeding mother getting 6400 IU of Vitamin D is similar to infant getting 400 IU – RCT Sept 2015
Children getting 60,000 IU monthly got to vitamin D level of 33 ng – Sept 2015
Breast-feeding mothers need 2000 IU of vitamin D to get infants to even 12 ng – July 2015
2,000 IU of vitamin D reduced schizophrenia chance by 77 percent (male infants) - 2004
Growing pains reduced 57 percent by vitamin D therapy – May 2015
T1 diabetes in children helped with two doses of 150,000 IU of vitamin D and Calcium – March 2015
50,000 IU Vitamin D one time after birth helped – RCT Jan 2015
Type 1 diabetes helped with 50,000 IU of vitamin D every two weeks – Nov 2014
Growing pains reduced 60 percent by vitamin D supplementation – March 2014
Respiratory Tract visits 2.5 less likely with vitamin D: Pregnancy 2000 IU, Infant 800 IU – RCT Oct 2014
2000 IU vitamin D during pregnancy and 800 IU to infant resulted in less use of antibiotics – RCT April 2014
Neonate loading dose of 30,000 IU vitamin D helped a lot – May 2014
2000 IU of vitamin D should improve toddlers health in winter – RCT almost completed Feb 2014
800 IU vitamin D for infant and 2000 IU for mother is good, not great – RCT Dec 2013
Breast milk resulted in 20 ng of vitamin D for infant if mother had taken 5,000 IU daily – RCT Dec 2013
Severe tooth decay in children unless supplemented with Vitamin D drops – Oct 2013
Middle ear infection (Otitis Media) and Vitamin D – many studies
Many preemies need at least 800 IU of vitamin D – RCT May 2013
Third study found that Infants needed 1600 IU of vitamin D – JAMA RCT May 2013
UVB added in classroom reduced cavities, increased height, increased academics. etc
Dental caries cut in half by vitamin D, review of 24 old clinical trials – Nov 2012
Recurrence of child pneumonia delayed by 100000 IU of vitamin D – RCT Oct 2010
Intervention of 400 IU of vitamin D raised infant blood levels 14 ng – Jan 2012
Congestive heart failure in infants virtually cured by 1000 IU of vitamin D – RCT Feb 2012
Infants getting 1400 IU vitamin D weekly grew better – RCT May 2011
6400 IU vitamin D is effective during breastfeeding – Oct 2010
Vitamin D in Europe category listing has 189 items has the following
% of Europeans with < 30 nanograms – after adjustment of readings
StudyCountries< 30 ng HELENA 9 EU 97% OPUS Denmark87% Tromsø Study: Fit Futures Norway 96% HGS Greece 97% INNS Greece 90% Cork BASELINE Birth Ireland 84% NDNS 1–18 y United Kingdom 90% NDNS >18 y United Kingdom 91% DEG4 Germany 91% Tromsø Study–6th Survey Norway 75% NHS Netherlands 78% LASA Netherlands 68% AGES–Reykjavik Iceland 86% Finnish Migrant Health . . Finland89% NANS Ireland 81% Health 2011 Finland 76% HUBRO Norway 66% Health 2006 Denmark 68%
&nbspDownload the PDF from VitaminDWiki
Note: 60% (not shown in pie chart) did not get ANY vitamin D supplementation
Introduction: According to updated evidence-based national recommendations which have been published recently vitamin D deficiency remains still highly prevalent in Poland and requires supplementation.
Aim of the study: was to evaluate the effectiveness of implementation of the new national recommendations into daily practice.
Material and methods: An analysis of medical records of 100 children aged from 6 months to 14 years admitted to the Department of Pediatrics, Hospital in Brzesko, Lesser Poland, from 1st July 2018 to 31st August 2018.
Results 41% patients declared vitamin D supplementation.
Among patients under 1 year of age 3 (60%) received recommended supplementation of 400-600 IU daily,
in the group of 1-11 years old 15 (19.5%) used a 600-1000 IU dose daily, 13 (17%) < 600 IU/daily, and 2 (2.5%) > 1000 IU daily, 1 patient did not remember the dose.
In the group >11 years of age 6 (37.5%) supplemented 800-2000 IU/day, 1 (6.3%) less than 800 IU, no one overdosed supplementation. In the group without supplementation, there were 3 patients with a de-creased 25(OH)D blood serum level (< 20 ng/ml).
Mean 25(OH)D serum level was significantly higher in the group with vitamin D supplementation (42 vs. 33.9 ng/ml; p = 0.0006).
There was no significant difference between mean 25(OH)D level in patients receiving adequate (40.5 ng/ml), to low (43 ng/ml), or to high vitamin D doses (49 ng/ml).
There was no significant correlation between vitamin D dose and the 25(OH)D serum level [R = (–) 0.24, p > 0.05)].
Conclusions There is an urgent need for physicians to provide an education concerning general rules of vitamin D supplementation, because the pre-sent guidelines of the vitamin D supplementation are not implemented well enough.
Created by admin. Last Modification: Thursday April 11, 2019 15:40:16 GMT-0000 by admin. (Version 6)
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Source: https://vitamindwiki.com/tiki-index.php?page=Polish+pediatric+center:+40+percent+took+vitamin+D+–+March+2019
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idolizerp · 5 years
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LOADING INFORMATION ON NEON’S LEAD VOCAL, LEAD DANCE LIU TAOYI...
IDOL DETAILS
STAGENAME: N/A CURRENT AGE: 22 DEBUT AGE: 22 TRAINEE SINCE AGE: 17 COMPANY: Midas SECONDARY SKILL: N/A
IDOL PROFILE
NICKNAME(S): bao bao, pigguri (reference to her love for eating and specifically her love for pig trotters) INSPIRATION: taoyi’s inspiration stems from gemini and diamant’s foreign releases and the popularity of groups like twinko in taiwan. SPECIAL TALENTS:
impressive flexibility, she’s practically a pretzel.
physical / facial impressions.
encyclopedic memory of movies and dramas as she’s used them as a tool for learning korean.
NOTABLE FACTS:
taoyi debuted in a group called “ice creamumu” when she was thirteen.
her parents own a seafood restaurant in hualien city.
her favorite genre is horror and she has a collection of pop figures of classic horror movie villains (chucky, jason, etc.).
since moving to korea, her favorite food has become jokbal (pig trotters).
when she’s really hungry, she can finish a family platter of korean beef all on her own. 
IDOL GOALS
SHORT-TERM GOALS:
debut. isn’t that any trainee’s primary reason for living? taoyi wants to see neon climb the charts and make a name for themselves as powerful rookies with a drive to succeed. she hopes that midas do them the favor of pushing them effectively and intelligently so they don’t fall into the fire pit trap of being a flash in the pan.
LONG-TERM GOALS:
long term, taoyi wants to be a filial child and make enough money to take care of her parents and keep their business afloat while doing what she loves. she’s got a lot invested into the success of neon so she hasn’t planned incredibly far ahead but she’d like to get a leg in on television and variety or an endeavor that would allow her to promote in her home country as well. it might be ambitious but she hopes neon make it that far.
IDOL IMAGE
ambition.
it takes a certain kind of drive to reach the places she’s gone now. it’s ambition and drive and flexibility, she reminds herself, that’s gotten her where she is, that’s keeping her there and making her something that midas wants to hold onto. it’s her talent, her desire to improve that makes it easy for her to stay.
they take advantage of the fact that taoyi’s korean is still developing and frame her on-and-off cultural confusion as her being more of a ditz than anything - she’s a sweet, soft-hearted, playful girl who gets words confused when she’s speaking, forms her sentences in a way that’s all her own and comes across as “4D” and peculiar, but in an endearing way, of course. she’s not stupid, the promotions will imply, we assure you, she’s just a little different, a little off-kilter and super cute. she’s from taiwan! isn’t that fun and quirky, isn’t she so admirable for making it this far in spite of it all? you underestimate her now but wait until she hits the stage.
it’s easier to take risks with her, being that she’s not native to korea, and they take advantage of that - dressing her in a crop top and a high-cut mesh leotard for her teaser pictures and implying in no shortage of words that her waist, tiny and curved, is a talking point, that her body is something to write home about and that her talent is just the cherry on top. it cuts deep when taoyi thinks back on the harsh words encouraging her to diet harder, to shed an extra 3 kilograms before she can debut, laced with the threat that she’s replaceable. why, now, is her body something to cash in on when they’d spent so much of her trainee days shaming her for the thickness of her legs?
she’s the “secret weapon” but she spends her days hidden away and wondering what she’d done to deserve that kind of pressure. ever so eager to please, desperate, she hopes she doesn’t disappoint them. that fear, of being less than great, makes her break her own back, working herself into a sweat in all the time she has away from her group members, behind the scenes. sometimes she envies them, wishes she had the benefit of sticking her neck out and showing her face to the general public, she wishes even more that it won’t make her harder to like, more vulnerable to public opinion for being a new face in the lineup. when it really hits her, she works even harder, holes herself away in her bed and studies korean until her eyes hurt. she wants to get it, so she doesn’t look stupid, so she’s ready to cock and shoot. she has to get it.
taoyi, honestly, doesn’t know where she’d be right now if it weren’t for midas seeing something in her and taking her in like a fallen baby bird from a nest too far up, with wings that weren’t quite ready to fly the way they wanted to, the way they twitched and fluttered to. she feels like she’s owes them for their hospitality, their willingness to teach her the things she hadn’t had the chance to learn back home. thank you isn’t ever enough, is it? not for something as big and life-changing as this opportunity, so she takes whatever they throw at her in stride. if they want her to play the role of the giggling ditz with the abs and the reverse charms, she can do it, if they want sex and attitude and punch-hard dancing and singing, she’ll reach into the very depths of herself to make it happen even if it feels like stepping out of her own skin.
she cries like a baby when they cut her hair for the first time. it tugs at her heart like she couldn’t have imagined it would but she can’t tell if it’s the feeling of loss or the feeling of change that causes the tears.
it’s better, she always reminds herself, than wallowing in her past failures and taking a flight back home to face her family’s disappointment. she doesn’t think practicality ever suited her much anyway.
IDOL HISTORY
“hard work and discipline” is written in mandarin above the entry way to the liu abode, on a wooden sign worn and eroded by the years it’s sat there - the generations of importance showing in the cracks in the frame. it’s the liu family motto and one of the first things taoyi learned before she’d even learned to read and write.
her parents, from humble, traditional beginnings, own a restaurant that sits comfortably under their apartment in the middle of hualien city. taoyi grows up learning the ropes and watching her parents stress and squawk and worry about money, about keeping the lights on in their restaurant - in their home, so she stresses, too. she takes that stress and she internalizes it, she helps around the house in every way she can, she tries not to take more than they can give. the restaurant is something like a family heirloom, strong and mighty and generations old. she gets anxious thinking about life without it, she can’t imagine a life where she doesn’t wake up early every morning to help her mother take the chairs down off of every table and wipe down the bar counters, where she doesn’t sit in the backroom of the establishment and work through barrels of fresh vegetables to check for bugs as a punishment for bringing home a bad grade. and that makes her anxious, too.
taoyi is twelve when she decides that taking the ink sacks out of fresh-caught squid isn’t the future she wants for herself and she’s met with a chilly reception.
“how do you expect to be a celebrity when you can barely keep your room clean? how do you expect to get anywhere with those grades, taoyi?”
so, she does what any rational, determined twelve-year-old would do and runs off to stay with her grandparents. she lays her head in her grandmother’s lap and tells her about the dreams she has, about the vision she can’t get out of her head of her standing on a stage with a spotlight shining down on her. it feels more like a memory than a dream, it feels like maybe it’s a glimpse from a version of herself much farther down the line with the skills to make it happen, but her grandmother shushes her. she tells her there’s time.
time passes.
an opportunity arises, like many do, seemingly out of nowhere, months down the line when a man who introduces himself as “slade” walks into her family’s building, hands her a business card with a number and an address written on it and tells her to ask her parents about a shot at hitting it big. it’s too good to be true and her parents tell her as much but they don’t shoot her down, thinking that maybe a failure will bring her to her senses.
the group is called “ice creamumu” and the concept is this: radio pop, but put cute little girls in lolita dresses and bows and have them sing over elements and twinkly beats. she’s the replacement for another girl who’d called it quits and she wastes a year of her life “training” under a no name company with poor management and no industry pull to the tune of a song that doesn’t even chart. it’s a waste of money and her parents tell her as much when she trudges back home when her contract is up, backpack over her shoulder and tears in her eyes because she’d been wrong. she’d gotten to sing on stage and it wasn’t to a mass of adoring fans, but pitying onlookers in small venues and singular passionate male fans who made her uncomfortable.
the reason, they tell her, before she leaves for good, deletes their numbers and tears the paperwork to shreds in a fit of pre-adolescent rage, is that the concept is too obscure, hard to market and tone deaf to the current climate of the taiwanese music scene - maybe in japan, they say, but she doesn’t listen and leaves much like the girl before her had. it’d be hard for anybody to make it with a cute lolita concept in this day and age, they say. they make it sound like it was her fault for believing it’d work out in the first place. taoyi feels stupid.
she feels even dumber when she re-enters the real world, the work and school world, where she’s back to working in the backroom of her parent’s restaurant for free and struggling to understand her school work between her dance classes and the other job she’d picked up in the aftermath to help pay for them.
it’s three years of this, of her quietly working toward her dream and doing what her parents expect of her. “hard work and discipline,” she never forgets and she takes it with her through her final exams, she takes it with her when she learns at the local studio, carries it in her pocket when she feels like she’s wasting her time; she carries it with her when the end of her high school career comes and goes and she’s still here, living with her parents and working at their restaurant and checking the vegetables for bugs and never seeing past tomorrow, when she finds her second wind.
taoyi misses midas’s overseas audition in taiwan by a month and a half and by the time she hears about it, they’d come and gone and taken the trainees they wanted with them.
she doesn’t know what makes her do it, she’s not certain of what makes midas so special, but she feels like this is it, she feels like she has to go after them and find her place among their ranks. taoyi tells her parents that she’s leaving over dinner two days before her one-way flight to korea and they tell her she’s lost her mind. they can’t pay for room and board in a foreign country and they sure as hell can’t pay the fee that’d come should she change her mind about it all and that, something about that exhilarates her. it feels something like independence, it feels like choice and building herself a platform to stand on. it feels like the opportunity to prove herself a capable daughter, to prove that she’s someone they can be proud of. her parents aren’t so willing to let their daughter leave the nest all on her own and agree to let her pursue this pipe dream under the condition that her mother come along - even that’s a costly decision and in the forty-eight hours leading up to takeoff, they have many discussions about the impact something like that would have on the family business.
they reschedule the flight to a more reasonable date, giving her mother time to make sure there’s a replacement in order to keep things running while they’re off in korea. it takes longer than taoyi anticipates and she spends the bulk of her time waiting with a bad attitude made worse by the itch she feels to just go, before it’s too late, before something else stands in the way of her making something of herself. it feels like she’s waiting for her parents to catch up and watching the door close in her face and, yeah, maybe that’s a bit dramatic but she feels weighed down, jittery with the need to take flight. she feels it even when they’re in the airport set to go and it doesn’t stop until she’s sat in her plane seat.
and just like that, she’s off.
taoyi’s got enough saved to last a few weeks to a month without a job but she spends the first dregs of it on a room in a hotel after trying to communicate with the clerk first in poorly learned korean and then again, more successfully, in english. her mother takes over, thankfully, the adult between the two of them and negotiates a space for the both of them for the next week, at least. she doesn’t know how she’ll manage once her mother flies back home and leaves her here to fend for herself, and she wonders if it’d be to much to ask that she and the rest of the family pick up and move here, then just as quickly discards the thought. she hasn’t lost sight of the reason she came, she truthfully couldn’t have, even if she’d tried. she’s in a foreign country, seventeen years old and banking on something that’s far from guaranteed.
she’s broke enough as it is and the flight to korea for the both of them had been more than either of them could really afford. taoyi had paid for her mother’s ticket, pretending it wasn’t a big deal, like she had enough and then some to spend, but it’d made a larger dent than she’d anticipated. the hotel room doesn’t help, but it’s a stepping stone, she reminds herself, a means to an end. what’s an artist without a struggle? her mother calls her foolish. she isn’t wrong.
she clears her mind with a shower and sits prone on her bed with her laptop in front of her, opened to midas’s homepage just to double check, just to make sure that she’d come at the right time of year and the relief she feels has her falling backwards, sagging into the lumpiness of her mattress and staring up at the ceiling with tears in her eyes. thank god. she’d been so sure she’d miss it.
in the week leading up to open auditions, she and her mother get to work on acquiring a work visa, looking for places for her to call home, and a head start on learning how to communicate in this new environment. korean is more difficult than she’d anticipated. it’s the vocabulary and the grammar that trips her up but maybe it’s the anxiety that keeps her from learning it as quickly as she wants to. she’d never been a very good student.
it feels a little bit worth it when she passes her audition, when her mother signs her off and they fly back home to gather the rest of her things so she can make the move into the share house they’d agreed upon. it’s not the cheapest and the owner lets her stay under the expectation that her mother call the office every month until she turns eighteen, but it’s a place to rest her head every night.
it gets harder from there. she’s not used to the rigor that the company demands from the second she joins their ranks and her first few months are spent in tears as she gets yelled at in a language she barely understands and forced to do exercises she’s never seen before and forced to overhaul her entire diet for something made with the sole purpose of keeping her alive while she sheds pounds of healthy weight. taoyi sobs down the phone to her parents back home, looking for sympathy and crying even harder when she realizes that even this, a simple luxury like being able to speak to her family is going to cost her money that she doesn’t have. she doesn’t get the unconditional sympathy she’s looking for, just a reminder of the family motto, a promise that she has a home to come back to if, when she fails again. it feels like support, or at least their version of it.
hard work and discipline, liu taoyi. don’t let your family down, liu taoyi. you wanted this, liu taoyi.
they’re right. she’d asked for this, she’d gone out of her way to get here. it wouldn’t be fair to herself or anybody else for her to give up now.
so, she works even harder to catch up to her peers who’ve been learning on this level for years and spends every waking hour she can afford working towards the vague, intangible goal of being picked and chosen. half of every pay check she earns at her day job goes towards her back-home fund, intended to send back to her parents to show them that something’s happening, and the other half goes entirely toward her cost of living. she doesn’t have much in the way of pocket money. she misses out on a lot of the more costly outings with her peers, but she gets better and that’s what matters. her parents visit when money isn’t quite as tight and she looks forward to those days more than anything.
taoyi’s nearly fluent by the time midas picks from the sea of trainees for girls to use for their new project. the disappointment she feels when she isn’t chosen is hard to ignore and she pores over her own shortcomings. when she blows out her twenty-first birthday candle, she hopes there’s still time.
maybe it’s cheap that she gets her wish when another girl gets removed from the lineup but she doesn’t mind being a replacement, too beaten down and eager to give up the opportunity or be held back by something as petty as pride. they praise her immensely for her propensity for picking up where the other girl had left off, for being so quick to fit into the mold they’d built for someone else and make it her own. she’s got a power to her that they appreciate, something that they pretend to kick themselves over not seeing before. it’s a pretty lie - they’d known exactly who they’d wanted when they’d picked the other girl but she decides then and there to let them know that she should’ve been the one they chose from the beginning.
taoyi’s passion shows through leaps and bounds, she’s a well oiled machine of hard earned talent and difficult to ignore presence. it’s a lot of pressure to keep up, to maintain the illusion of strength that’s been cultivated over years of being told that she can and should always be better. she carries it with her.
they repay her by marketing her as their “secret weapon,” careful to hide her face from the public up until the teasers drop despite the natural desire of midas fans to do detective work to find out for themselves. she’s a hidden gem, the thing that’ll push the girls over the line and into their own kind of victory. no pressure or anything.
her parents have made it clear that neon is the last chance she has before they fly her back home and teach her the ropes of the family business. success is the difference between living her dream of becoming an idol, standing prone in the spotlight, and gutting fish in taiwan, getting a practical degree that she can make real money off of. she’ll do anything to make sure that doesn’t happen.
anything.
now, with debut looming over her, she feels like it may have been worth it.
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whatsonforperth · 5 years
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20 Things To Do In Perth For Under $50
Check out these experiences in Perth for under $50! There is so much to see and do in Perth the hardest thing is decinding what to do and of course make sure it doesnt break the bank. We have a list of some of the best things to do in Perth for less than a pineapple. Perfect for travellers who want to experience the best of Perth on a budget. Or alternatively, if youre a local and looking for things to do in Perth on the weekend. 1. Penguin & Sea Lion Cruise $42
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Enjoy a leisurely 45 minute cruise on a glass bottom boat through Shoalwater Bays wildlife sanctuary zone to see wild dolphins and rare Australian sea lions. Get up close with the worlds smallest penguins when you join the island rangers present penguin feeding and a talk. Plenty of time to explore the sandy bays too! BOOK NOW 2. Nostalgia Box $17
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Relive your childhood with a trip to Australias only video game museum right here in Perth! Play old favourites such as Pong, Atari 2600, Super Mario Bros, Alex Kidd, Sonic the Hedgehog, Crash Bandicoot and many more! A great visit with the kids on the weekend or school holidays. BOOK NOW 3. The Bell Tower $18
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Located overlooking the Swan River, The Bell Tower is one of Perths most visited attraction and its home to the famous royal bells of St Martin-in-the-Fields, which chimed for James Cook as he departed on his voyage of discovery to Australia. Definitely one of Perths iconic landmark and located right in the heart of Elizabeth Quay. BOOK NOW 4. The Perth Mint $19
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Watch a molten gold pour and see precious gold bars and coins being struck at the award-winning Perth Mint. Marvel at Australias largest collection of natural gold nuggets, including the second largest gold nugget in existence, weighing in at 25.5 kilograms. Guided talks operate every hour. BOOK NOW 5. Lancelin 4WD Sand Dunes Boarding Adventure $30
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Enjoy this 45 minute adventure onthis thrill ride which takes you up and down some of the biggest dunes in Western Australia with the magnificent crystal clear waters of the Indian Ocean as the backdrop. Lancelin is located around 70kms north of Perth so a great activity if you have your own vehicle and self-driving. BOOK NOW 6. Caversham Wildlife Park $28
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Spend the day at one of Perths most incredible and popular attractions, showcasing the largest private collection of native wildlife in Western Australia. There is nothing like hand feeding the kangaroos before joining the interactive farm show, touch a possum or lizard, meet a wombat and have your photo taken with very cute koalas! BOOK NOW 7. Mandurah Dolphin and Canal Cruise $32
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View spectacular wild dolphins, in their natural environment, on the pristine and calm inland Mandurah waterways with Mandurah Cruises. Less than an hour south of Perth and Mandurahs number one tourist attraction thisone hour Dolphin and Scenic Canal Cruise visits the world class Ocean Marina as well as the luxurious homes, with no expense spared, on the canals. BOOK NOW 8. Fremantle Tram Pass $28
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Start your sightseeing tour at any of the six conveniently situated stops around the city. Your driver will provide an entertaining and informative commentary as we tour Fremantle City and allowing you to jump on and off where you feel the need to spend a little more time. With photo opportunities along the way we can ensure you will not miss anything that the historic port city of Fremantle has to offer. BOOK NOW 9. AQWA Aquarium $30
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Enjoy exploring all of AQWAs stunning exhibits discovering WAs spectacular marine life as you explore Australias largest single aquarium. Encounter giant sharks, stingrays and turtles, meet rare, unique and deadly sea creatures. Touch a starfish or baby shark at our child friendly discovery pool plus experience the wonder of one of the worlds largest living coral reef exhibits, before relaxing by a coastal lagoon or enjoying our new toddler playground. BOOK NOW 10. Perth Coffee, Culture & Art Tour $40
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The tour will explore the Heritage Precinct of Perth, the old theatre district as well as former educational precincts. Enjoy a coffee/tea at popular local cafe (included) and enjoy a wonderfully re-purposed heritage space in a forgotten area. Visit secret gardens, discover hidden artwhile learning some of the more interesting anecdotes about the city. BOOK NOW 11. Learn to Surf $40
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Learn to surf in Perths northern suburbs! The lesson will take you through ocean awareness, surf safety and surfing technique. All lessons are conducted in a safe and controlled environment making the class the perfect way to ease you into the sport of surfing. All of our instructors absolutely love their job and their enthusiasm and teaching skills will ensure you have a great time. BOOK NOW 12.Twilight Cruise of the Swan River $35
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There is no better way to finish your day than aboard a twilight cruise along the Swan River while enjoying sundowner drinks. The scenic cruise takes in the Old Swan Brewery and South Perth foreshore before heading upriver to bask in the glowing city skyline. A complimentary drink is included, along with light snacks available to purchase on board. BOOK NOW 13. Perth Optus Stadium $25
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With views of the picturesque Swan River and Perth city in the west and the foothills in the east, this 60,000 seat, world-class, multi-purpose Stadium will host a variety of sports and entertainment events including Australian Football League, International and Big Bash League cricket, soccer, rugby league and union plus concerts. BOOK NOW 14. Live Pearl Harvest $15
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Experience the wonder of a live pearl harvest and uncover the journey of the Pearl of Western Australia from shell to showroom at Elizabeth Quay. The most beautiful and valuable pearls in the world are grown in Western Australia and our live pearl harvests allow guests to have a truly unique experience, right in the heart of Perth city. BOOK NOW 15. Hop-On Hop-Off Bus $35
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Tour around Perth and Kings Park on an iconic open top bus. No other tour vehicle can offer such a birds eye view of the top attractions. Take great photographs from the top deck no glass window to spoil the view! If you stay on all the way round, the tour takes approximately 2 hrs to complete. Or you can use the hop on hop off facility and make a whole day of it! BOOK NOW 16. Swan River Scenic Cruise $40
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Cruise down the beautiful Swan River past all the sights including Perths impressive Bell Tower, the restored Swan Brewery, Kings Park, Royal Perth Yacht Club.See magnificent homes overlooking the river and Fremantles busy inner city harbour to explore Fremantles galleries, boutiques, colonial history and laid-back lifestyle. BOOK NOW 17. Caversham Wildlife Park with transfers $39
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Spend the day at one of Perths most incredible attractions, showcasing the largest private collection of native wildlife in Western Australia with return transfers from Perth CBD hotels. Hand-feed the kangaroos, join the interactive farm show, touch a possum or lizard, meet a wombat and have your photo taken with koalas. BOOK NOW 18. Tree Top Climbing Adventure $45
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Join Australias premier tree top adventureropes experience. Lane Poole Adventure Parks features a number of exciting and challenging obstacle courses high up in the tree canopy, that will have all the family swinging, leaping, climbing and flying through the forest allowing thrill seekers and nature enthusiasts to experience the trees like never before. BOOK NOW 19. Convicts & Colonials $45
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This tour winds its way through Fremantle, which is renowned for its well preserved architectural heritage, including convict built colonial year buildings and one of the most notorious prisons in the British Empire, the World Heritage Listed Fremantle Prison. BOOK NOW 20. Oliver Hill Train & Tunnel Tour $29
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Journey to the historical Oliver Hill Guns and Tunnels Fortification on board the unique Captain Hussey trolley train. This tour begins with an informative train ride passing some iconic and historical landmarks and a guided tour through the stunning tunnel system that once played a crucial role in Australias military defence World War II. Price excludes ferry fare to Rottnest Island. BOOK NOW Explore more of Perth and WA There are so manymore great Things to Do in Perth, luckily we have this latest guide to help. https://soperth.com.au/20-things-to-do-in-perth-for-under-50-25416
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The rights of the newborn, to it's own blood - Your baby needs it's blood and stem cell infusion, with all it's benefits, at the time of birth, as nature intended it.
We admire the local and global work that Ibu Robin Lim has been carrying out for decades for the rights of women and especially babies. Have you considered that it's a newborn's right to have it's own blood?
Midwife Lina Duncan states: “There is also work across the globe to ensure babies get their own blood. One of the ways we can help is by our language. It's not ‘cord blood.’ The blood belongs to the baby- it’s ‘baby’s blood.’“
Please read on and comment in response to Ibu Robin Lim's thoughtful and compassionate article. 
[NOTE: Unfortunately she is unable to attend the conference to speak as we had all hoped. Regardless, we propose change to the practices across Asia to better serve our babies. May everyone be inspired through her research, writing and compassionate work.]
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The Necessary Question of Infants’ Human Rights at Birth…Are there Vampires in the Birth Rooms?
Parents, grandparents, aunts, uncles, siblings, families, midwives, doulas, doctors, nurses, hospital administrators and legislators…we are BirthKeepers. It is our responsibility to ask the next question concerning human rights in childbirth. As BirthKeepers, it is we who are given the sacred responsibility to protect the mothers and our incoming humans, the newborns, at birth and as they grow, for they are the future EarthKeepers. My question now is: “Are we allowing our health providers to rob our babies of their full potential of health, intelligence, immunity and longevity, at birth?”
In Germany, children under the age of 18 are not eligible to donate blood. Blood donations are generally no more than 500 ml, which is 1/10th of the average adult blood volume. Blood donors must weigh at least 50 kg.  
Yet, all over the world, in nearly every single medical institution where babies are born, newborns (usually weighing only between 2 and 5 kilograms (4.4 to 11 lbs.) are being denied up to 1/3 of their blood volume. This happens when the umbilical cord is immediately clamped and cut, by the doctor or midwife, just moments after the baby is born.
At the moment of birth, newborn infants have a blood volume of approximately 78 ml/kg, which means about 273 ml, at an average weight of 3.5 kg. This is what the newborn is left with when the umbilical cord is immediately clamped and cut.
Research has shown that when umbilical cord-clamping is delayed for 5 minutes, a newborn’s blood volume increases by 61% to 126 ml/kg, for an average total of 441 ml. This placental transfusion amounts to 168 ml for an average 3.5 kg (7.7 lb.) infant. One-quarter of this transfusion occurs in the first 15 seconds, and one-half within 60 seconds of birth.
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Is taking 1/3 of a mammal’s blood supply harmful? 
How then can it be legal for hospital protocols and practices to harm newborns, by robbing them at birth of so much of their blood? I have reviewed the extensive research and the evidence, and found absolutely NO benefits for newborn babies, when their umbilical cords are immediately clamped and cut at the time of birth. In fact, the studies prove this to be a harmful practice.
At the time of birth up to 1/3 of each baby’s blood supply is traveling from the placenta via the umbilical cord to the baby. Calling this blood “cord blood” is doublespeak, intentionally ambiguous language, meant to fool parents into misunderstanding. The fact is, the blood present in the umbilical cord at the time of birth is truly the BABY’S blood.
No parent would sign a waiver (often presented in fine print as part of a long informed consent, given to mother when she arrives at a hospital in labor) giving away 1/3 or any amount of the baby’s blood. Yet, thousands of times, every day and night, parents are deluded into giving away a significant part of their baby’s precious blood supply! The majority of parents in the world are not even asked if the baby’s umbilical cord may be immediately severed.
I am quite sure that if I were to remove 1/3 of even one adult patient’s blood, without his or her consent, it would be considered a crime. There would be media outcry against me, and I would be prosecuted. How then is it that people tolerate the same unfair treatment of human neonates?
A mountain of research shows that by simply delaying the clamping and cutting of babies’ umbilical cords, our newborn children suffer less trauma, fewer inner cranial hemorrhages, and have higher stores of iron at 4 months of age, and even up to 8 months after birth (1) (2) (3). The nutrients, oxygen and stem cells present in the blood transfused into babies by the placenta, when cord severance is delayed, ensures that the body’s tissues and organs are properly vitalized, supplied with energy, and nourished. This translates into improved health, heightened immunity, increased intelligence and potential longevity.
In addition, keeping the umbilical cord intact for some time at birth means that the baby must stay skin to skin with mother. This eliminates or greatly reduces the potential for birth trauma. Research has proven that babies born without trauma enjoy an intact capacity to love and trust. (Michel Odent OBGYN “The Scientification of Love, see entire book)
The simple, natural, common-sense practice of giving the placenta time to do its job, of delivering to the baby his or her full blood supply, has been criticized and NOT implemented by the very doctors and hospitals who have taken an oath, to “Never Do Harm.”  
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The origins of immediate premature cord cutting
The imposed medical habit of immediately clamping and cutting babies’ umbilical cords has not been with us so long (just over 200 years) and yet, in the minds of many healthcare providers it is erroneously considered “normal” and “necessary.” Clearly the research proves it is not necessary, nor is it evidenced based practice.
“Another thing very injurious to the child, is the tying and cutting of the navel string too soon; which should always be left till the child has not only repeatedly breathed but till all pulsation in the cord ceases.  As otherwise the child is much weaker than it ought to be, a portion of the blood being left in the placenta, which ought to have been in the child.”
~Erasmus Darwin,  Zoonomia, 1801
The habitual practice of immediate umbilical cord clamping and cutting began in the 1960s when an unproved hypothesis or theory arose among physicians thinking that immediate cord severance would prevent jaundice. If this is true, why do so many babies who have had their cords immediately clamped and cut need phototherapy for pathological jaundice? Research has proven that there is no greater risk of pathological jaundice for newborns whose cord clamping and cutting is delayed.
Another theory was that early cord clamping would prevent Polycythemia, or too much hemoglobin. Some research does show an increased concentration of hemoglobin in the delayed cord clamping group, but it has not harmed babies, nor is it a significant argument for immediate cord severance. (4)
When immediate umbilical cord clamping and cutting was introduced, it was never questioned. NO research was conducted to determine if it was a safe practice. It was just done for convenience. Doctors, nurses and midwives began to follow the trend, like sheep wearing blinders. Later, they justified it with myths about delayed cord severance causing jaundice. Few asked the questions I am asking today; “What about the Baby?” “What are the Babies’ human rights?” “Is the practice and protocol of immediate umbilical cord severance harming our children?” “Is it sabotaging breastfeeding and bonding?” “Is it impairing our children’s birthright to their full potential of health and intelligence?” At this junction of herstory and history, many BirthKeepers are asking these very questions. (5)
Research proves that immediate or early umbilical cord severance is detrimental to our newborn children, but no one seems alarmed. Are we hypnotized? Why are we trusting medical professionals, who profits from denying our offspring their very blood? Stealing blood is what vampires do!
Thinking, caring parents and grandparents have concluded that OBGYNs and midwives who insist on routine, immediate umbilical cord cutting are simply protecting their right to practice with impatience, and what they deem ‘efficiency,’ with no regard for the rights of the baby, who cannot protest.  
Another issue is financial profit. Stem cells are valuable, blood is valuable, and hospitals sell babies’ blood for transfusions and for research. (6) Many parents are asked to donate their babies cord blood to science or to help others. Did you know umbilical cords are marketed for transplants? Placentas have also been sold to cosmetic companies to be used in beauty supplies, though this is now much less common.
In some countries (especially the US), fear of litigation has been used to justify early cord-cutting. In 1995 the American Academy of Obstetricians and Gynecologists (ACOG) released an Educational Bulletin (#216) recommending immediate cord clamping in order to obtain cord blood for blood gas studies in case of a future lawsuit. They did this because deviations in blood gas values at birth can reflect asphyxia, or lack of. Lack of asphyxia at birth is viewed as proof in a court of law that a baby was healthy at birth.
Following an unpublished letter sent to ACOG by Dr. Morley, ACOG withdrew this Educational Bulletin in the February 2002 issue of Obstetrics and Gynecology, the ACOG journal. (7) This action released them of liability resulting from their previous bulletin #216 of 1995. Parents and all BirthKeepers must ask; WHY, if ACOG has withdrawn its erroneous instruction to doctors, to immediately clamp and cut babies’ umbilical cords, is it still universally and dangerously practiced?
Midwives and doctors who propose the healthy process of placental transfusion at birth by delaying umbilical cord clamping and cutting are criticized and charged with the burden of proving that letting nature take her course is safe!  
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The difference between a cord at the time of birth versus at the time of the cessation of pulsation (Photo credit: Kate Emerson, www.cord-clamping.com)
Cord Baby blood banking
The question of cord blood banking arises. First of all, remember that it is actually baby blood, not cord blood. That said, there are two directions parents are encouraged to choose from: banking their baby’s stem-cell-rich blood for donation, presumably to help someone in the future, an altruistic idea; or, banking baby’s blood for future personal use, should the child develop a disease perhaps treatable by blood transfusion. The most touted of the presumably treatable diseases is leukemia. The probability that a person in the course of his or her life will ever need a stem cell transplant (whether from umbilical cord blood or bone marrow) has been estimated by the University Hospital in Heidelberg at 0.06% to 0.46%, depending on age. Correspondingly low, the probability that one's own cord blood would be used in a transplant is between 1: 1400 and 1: 200,000. (8) The technology to properly store this baby blood is still not adequate to insure that the blood will be useable in the future. 
Parents are driven by fear and love for their baby to pay between 1,500 and 2,000 euros or more, for the initial “harvesting” of their baby’s blood at birth. Storage programs, for between ten and twenty-five years cost between 90 and 120 euro per year. Parents are asked to gamble that technology will advance enough to make their investment useful, should the worst case scenario for their child’s health arise. 
But it must be said out loud and precisely: YOUR BABY NEEDS THAT BLOOD AND STEM CELL INFUSION, WITH ALL ITS BENEFITS, AT THE TIME OF BIRTH, AS NATURE INTENDED IT. 
With that in mind, there is a third option for parents who are convinced of the need for blood banking: to harvest the baby’s blood for collection and storage AFTER delaying the clamping and cutting of baby’s umbilical cord, allowing for some of the essential transfusion to take place. immediately after birth.  
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This baby is not being deprived of the transfusion of it’s own blood from the placenta. Because his cord was not cut early, he will enjoy improved health, heightened immunity, increased intelligence and potential longevity. (Photo credit: Neha Chopra, Out of Focus Photography) 
At least 7,000 babies got their blood
At Bumi Sehat in Indonesia and the Philippines, we have received nearly 7,000 babies safely into the world, in high-risk, low resource settings. All of these babies enjoyed delayed umbilical cord clamping and cutting. Normally we wait 3 hours before doing anything with babies’ umbilical cords, and many parents choose keeping the cord and placenta connected to the baby until the cord naturally dries and falls away, or “Full Lotus Birth.” Both of my grandsons enjoyed this non-violent practice.
At Bumi Sehat we have experienced NO ill effects to babies through delaying umbilical cord cutting. A small study was done which compared a sample of 30 babies from Bumi Sehat (greatly delayed cord severance) and 30 babies from a local hospital with immediate cord severance. There was NO increased rate of jaundice in the Bumi Sehat babies, and they enjoyed higher hemoglobin.
Our MotherBabies enjoy a breastfeeding rate of 100% upon discharge from all three of our childbirth centers in Indonesia and the Philippines. We attribute this success of breastfeeding to the bright, enthusiastic way in which babies, born at our birth centers, bond wide-eyed and go directly to the breast to self-attach and feed. Delayed umbilical cord clamping and cutting makes it possible for babies to be bright and energetic. Babies subjected to immediate cord severance suffer from newborn anemia and all of their bonding and breastfeeding activities are impaired.  
Severe anemia makes any and all newborn activities, such as gazing, crawling toward the breast, nuzzling, staying awake, latching and suckling, nearly impossible. I sing praises to the determined mothers who manage to bond and breastfeed their infants, in spite of immediate cord severance. Humans are super resilient, but that is no reason to abuse them at birth.  
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Just Say No
No other mammal, except humans, routinely interferes with bonding and breastfeeding by quickly severing the umbilical cords of their offspring.  
No matter if you are rich or poor; educated or not; brown, black, white, red, yellow or of mixed race, Muslim, Christian, Buddhist, Hindu, Pagan, Catholic, Jewish or Agnostic, very young or quite mature, if you go to a medical institution for childbirth, your baby will be robbed of up to 1/3 or 33% of his or her/his natural blood supply.
Just say “NO, I will not allow anyone to abuse my newborn by immediately clamping and cutting my Baby’s umbilical cord!”
If you were born in a hospital or clinic, it happened to you. If you plan to give birth in nearly any medical institution on Earth, it will happen to your baby, unless YOU demand time for your baby to receive all of the blood he or she is meant to have. (9)
Immediate or early clamping and cutting of babies’ umbilical cords is the biggest most widespread, medically sanctioned Human Rights issue on Earth! Together, we can make this a thing of the past. May our babies all be blessed by our patience.  
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This is the non-violent practice of “Lotus Birth” in which the baby and placenta and left in-tact until the cord dries up and comes off. Obviously, this baby wasn’t shy any of his blood! (Photo credit: Lina Duncan, midwife)
REFERENCES
(1)  BMJ. 2011 Nov 15;343:d7157. doi: 10.1136/bmj.d7157.
(2) Indian Pediatr. 2002 Feb;39(2):130-5.
(3) JOURNAL OF TROPICAL PEDIATRICS, VOL. 58, NO. 6, 2012
(4) Judith S. Mercer, PhD, CNM, FACNM, Debra A. Erickson-Owens, PhD, CNM J Perinat Neonat Nurs r Vo  2012Rethinking Placental Transfusion and Cord Clamping Issues 
(5) http://midwifethinking.com/2011/02/10/cord-blood-collection-confessions-of-a-vampire-midwife/
(6) http://midwifethinking.com/2011/02/10/cord-blood-collection-confessions-of-a-vampire-midwife/
(7) http://www.whale.to/a/morley17.html
(8) Die Wahrscheinlichkeit, dass ein Mensch im Laufe seines Lebens überhaupt eine Stammzelltransplantation (egal ob ausNabelschnurblut oder Knochenmark) braucht, schätzt die Uniklinik in Heidelberg auf 0,06% bis 0,46% abhängig vom Lebensalter, das erreicht wird. Entsprechend gering ist die Wahrscheinlichkeit, dass bei einer Transplantion das eigene Nabelschnurblut verwendet wird: Die Schätzungen reichen von einer Wahrscheinlichkeit von 1:1400 bis 1:200.000.  http://www.babycenter.de/a36661/warum-ist-nabelschnurbluteinlagerung-umstritten#ixzz3EKUNPq4X
(9) Late umbilical cord-clamping as an intervention for reducing iron deficiency anemia in term infants in developing and industrialized countries: a systematic review. http://www.epistemonikos.org/de/documents/e068abb1a37d6f4c343068377945144da56c483f?doc_lang=en
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Ibu Robin Lim, CPM, is a midwife practicing in Indonesia. She, along with midwife Deborah Flowers, co-created the online resource Awakening Birth in an effort to call attention to the care of mothers, babies and their families, and the sanctity of birth as a basic human right. She is the founder of Bumi Sehat, a free clinic and birth center in Bali, Indonesia.
In 2011 she was recognized as the CNN Hero of the Year, and has received many other honors and awards.
She is the author of several books, including After the Baby’s Birth…A Woman’s Way to Wellness, and The Geometry of Splitting Souls. Her newest book, The Ecology of Gentle Birth has just been released in 2016.
See Ibu Robin's books and articles, NICE Guidelines UK, and Hannah Tizard’s www.bloodtobaby.com #WaitForWhite #WaitForWeight
Don’t miss the action at Human Rights in Childbirth Conference in Mumbai India.
Sign this petition to make it mandatory that Indian hospitals declare their c-section rates!
Check out Human Rights in Childbirth on Facebook.
Ask questions, find support and information at Birth India’s Facebook Support Group.
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jessicakehoe · 4 years
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Jewellery 101: Everything You Need to Know About Aquamarine
When Meghan Markle flashed an aquamarine ring from the passenger seat of a matching blue Jaguar being driven by new husband Prince Harry to their wedding reception, baby-blue gems zoomed to the top of the rock charts. But what should you know about the March birthstone, especially if you’re thinking of investing in one? The most crucial thing about aqua­marines is whether the stone you’re about to buy is actually an aquamarine and not, for instance, a topaz or just lowly blue coloured glass. Confusion reigns among blue gemstones.
Aquamarine vs. Topaz vs. Glass
Naturally blue topazes are rare. And no one wants to be duped into buying a relatively cheap colourless topaz that has been radiation-treated into its blue hue. So, how can you tell the difference between an aquamarine and a blue topaz—or an aquamarine and blue glass?
Gems should be viewed under the right optical conditions. Put the stone against a sheet of white paper either in natural light or under fluorescent tube lighting. To the naked eye, an aquamarine will often have a slight greenish cast to it, which a blue topaz totally lacks. Another test: Aquamarines are pleochroic, which means they throw off different colours when viewed at different angles. If the stone you have in your hand emits the same colour no matter what angle you hold it at, it’s not an aquamarine. Surface nicks, scratches and bubbles trapped inside are signs that it’s a piece of glass. Aquamarines score between 7 and 8 on the Mohs scale (a scale that rates mineral hardness up to 10); glass scores about a 6. And lastly, there’s the temperature test. Aquamarines are poor thermal conductors, which is why they always feel cool in your hand. If you can get a hold of a diamond tester, it will accurately gauge thermal conductivity. If the stone conducts heat, it’s a topaz.
Where do they come from?
Aquamarine deposits can be found in China, Vietnam, India, Pakistan, Sri Lanka, the U.S., Madagascar and Mozambique. But the rich-blue ones from the Santa Maria de Itabira mine in Brazil are the gold standard; they’re known simply as “Santa Marias”—the term is even being used to describe any highly saturated aquamarine. To intensify their shade of blue, many are heat-treated to get rid of any yellow or green that might be present. Heat and radiation treatments are not bad or dishonest, per se, but the jeweller should inform you if the gem has undergone that kind of process. 
Size vs. colour
With exceptions from mines in Nigeria, Mozambique and Madagascar, which are known for their small but intensely blue aquamarines, there is another rule of thumb: generally speaking, the smaller the stone, the lighter the blue. This is especially so because aquamarines that are cut in such a way as to keep most of their weight are also the bluest. So, small deep-blue stones are usually worth more per carat than bigger ones. Disparity in size and colour can also make for a mismatched design. In a piece with a big central aquamarine flanked by smaller ones, the centrepiece will likely be darker. 
Ethical issues
There is also the question of the ethical origin of your aquamarine. Was it responsibly mined—meaning did the mining process include child labour or drastically harm the environment? Was it cut in surroundings that would not bring on silicosis, a lung disease that occurs when people breathe in crystal dust and particles? Did the trade of this aquamarine involve any criminal elements? These are questions you should ask. And if a Madagascan aquamarine has caught your eye, find out if it was cut at the Gemmological Institute of Madagascar, which teaches local people about the gem business, including how to cut.
Photo by Tim Graham Photo Library via Getty Images
The importance of cut
After clarity, carat and colour, cut also needs to be considered, since a good cut is what gives an aquamarine that “Markle sparkle.” Like Markle’s ring, which belonged to the late Princess Diana, a popular cut for aquamarines is the rectangular emerald, along with the oval and the pear. But because it’s not difficult to find a super-clear aquamarine, there are daring, virtuoso cuts—like the Asscher, the princess and the cushion as well as concave faceting—that really make a gem spark and fizz. A modified trillion cut, for example, gives the aquamarine a spectacular hall-of-mirrors effect. Aquamarines also come in sizable chunks, so an expert lapidary can innovate with all kinds of unique faceting, bevelling, polishing and grooving, but these are enormous and meant to be displayed, not worn. Many jewellers experiment with keeping aquamarines rough or only partially polished—slicing them up for necklaces, for example. In general, the best aquamarine cuts are those that follow the natural lines of the crystal.
Which aquamarines are the most valuable?
Aquamarines are part of the beryl family; this makes them cousins of the more coveted emerald, but aquamarines are no slouch in the value department either. On the other hand, their value is limited by the fact that there is so much aquamarine in the world. They grow in big clusters of clean hexagonal crystals that can be over 100 kilograms in size—which is why there’s no need to choose an aquamarine with flaws or inclusions. Nigerian aquamarines, for instance, tend to be more included, and these flaws can develop into fractures that can split the gem if it’s heated. So, it’s better to stick with clear-as-day blue stones. 
There is a cool exception, though: cat’s-eye aquamarines, which are a rare anomaly of nature. Here, the flaw usually takes the form of parallel microscopic tubes inside the gem that are either hollow or filled with liquid. A good lapidary will cut the gem to showcase the flaw so that it has a satiny, striated cat’s-eye effect whenever it catches the light.
How to make them last
Aquamarines are pretty tough, but you should make sure they’re sturdily set, especially in wear-everywhere rings. Ultra-hard platinum settings are the best bet. Clean your aquamarine with warm soapy water, and keep it away from chemicals—even the ordinary household kind. Aquamarines are not especially light-sensitive, but if you like to spend long days on a hot, sunny beach, you will gradually overexpose the stone and some of its blue will be leached away. The same goes for high temperatures, so it’s best to leave your ring behind if you’re heading for the sauna.
Here are some of our favourite aquamarine pieces to add to your wish list (or your collection):
1/7
JdJ Studio
($8,500, JdJ Studio)
Tumbled-aquamarine, fresh­water pearl and 18 karat yellow gold necklace
2/7
Mindham Fine Jewellery
($19,000, Mindham Fine Jewellery)
18 karat white gold and cabochon aquamarine ring
3/7
Pomellato
($16,900, Pomellato)
Aquamarine, tanzanite, blue sapphire and 18 karat rose gold ring
4/7
Gucci
(price upon request, Gucci)
Aquamarine, diamond and white gold bracelet
5/7
Birks
($275, Birks)
Aquamarine and silver necklace
6/7
Cartier
(price upon request, Cartier)
Platinum, aquamarine, moonstone, cultured pearl and diamond bracelet
7/7
Chopard
(price upon request, Chopard)
Aquamarine, sapphire and 18 karat white gold earrings
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