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Benzathine penicillin given every three weeks as IM injection (1.2 mega units) has given the best results. Oral agents (penicillin V) are given in patients with lower risk of rheumatic recurrence. In patients with penicillin allergy, sulphadiazine or erythromycin is used. According to ICMR recommendation, secondary prophylaxis should be carried out till 35 years of age. As per American Heart Association (AHA, 1995), the recommendations vary for secondary rheumatic prophylaxis. In general it is recommended that patients with established rheumatic heart disease, should receive prophylaxis till 10 years after the last episode or 40 years of age, which ever is longer. Some patients who develop post streptococcal reactive arthritis without carditis are given Benzathine penicillin 1.2 mega units ever three weeks for 1 year.
What is Microbodies ? Microbodies : Microbodies are formed by pinching off of vesicles from rough endoplasmic reticulum. They are not found in every cell, but are present a
why is obelia considered to be of special interest in Zoology as an animal showing an intermediate grade of organisation
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Treatment and Nursing Management The initial treatment is surgical repair of the cleft. The timing of the repair varies from surgeon to surgeon, but most prefer cleft lip rep
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