1. Permit and encourage the child to participate in regular physical activities whenever possible.
2. Notify the parents if the child cannot fully participate in gym activities.
3. Permit and encourage the child to participate in regular physical activities unless directed to stop by the doctor.
4. Allow for a reduction in outdoor activities during cold weather or periods of air pollution and excuse the student from classes if he or she has significant symptoms.
5. Attempt to determine the child’s physical limitations and encourage the child to function within those limits.
6. Not force the child to exceed his or her limitations (for example should not force the child to run laps on a cold day) when activity is not tolerated and should encourage warm up activities and exercises.
7. Be familiar with exercises that are best tolerated by children with asthma.
8. Allow the child to set his or her pace on a daily basis.
9. Permit the child to take the prescribed asthma drugs before or during exercise with no inconvenience.
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Clinical problems
Mild nausea. Early morning nausea during the first trimester can usually be overcome by eating some high-carbohydrate food, such as dry toast, crackers, or hard candy before arising. Fatty and fried foods should be restricted. Several small meals a day, rather than three large meals, may be more desirable. Fluids should be taken between meals and not at meal time.
Food cravings. Women often experience cravings for certain foods during pregnancy. When these foods are a part of a nutritious diet or don’t displace essential foods, these cravings can be satisfied. Pica, or craving for abnormal substances such as laundry starch, clay, chalk, or coal, is found among some women, especially in low-income groups. Consuming large amounts of these substances seriously interferes with the intake of nutritious foods, and should be corrected by education and by assuring the means to obtain an adequate diet.
Anemia. Iron-deficiency anemia during pregnancy increases the likelihood of premature birth. The baby at birth is less well supplied with hemoglobin and thus is likely to become anemic during the first year of life. Macrocytic anemia caused by insufficient folacin sometimes occurs in pregnancy. These anemias are prevented or treated by supplements of iron and folacin, respectively.
Constipation is rather common during the latter part of pregnancy. It can usually be avoided by placing more emphasis upon raw fruits and vegetables, some whole-grain breads and cereals, a liberal intake of liquids, and a regular program of exercise.
Toxemia of pregnancy. This condition is characterized by increased blood pressure, swelling of the hands, face, and ankles, and proteinuria. A sudden gain in weight after the twentieth week of pregnancy indicates water retention. The causes of toxemia are little understood, but lack of prenatal care and poverty are associated with the condition. Restriction of calories, protein, and/or sodium has often been tried in the past. These dietary restrictions are no longer considered to be useful, and are potentially dangerous.

Lactation
The lactating woman will produce 550 to 850 ml (20 to 30 oz) of milk each day, representing 20 to 30 gm protein and 400 to 600 kcal. In order to produce this milk, her nutritive allowances are increased. The calorie needs are best met by choosing more foods from the four food groups. She should continue to consume the amounts of milk recommended for pregnancy.
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TIPS OFTHE BOTOX TRADE
Certain vitamins and medications, such as vitamin E and aspirin, can make you more prone to bruising at the injection site. Avoid them for approximately ten days before being treated with Botox.
It’s important to remain upright for a minimum of two hours following treatment to ensure that Botox doesn’t migrate. One of my new patients came prepared with an anti-snooze gadget created for drivers that gets tucked behind the ear. It works by emitting a loud buzzing sound whenever it senses that the head is lowering. The best part of this story is that her mother, also a patient, had given it to her!
Excessive smiling and frowning are what brought you to seek Botox in the first place. Funnily enough, you’ll have to do a lot of both immediately after the treatment to ensure that the Botox binds properly.
THE BOTOX CONSULTATION
I’ve found that while patients are all too aware of their problem areas, they’re usually at a loss as to which procedure will help to restore their looks. This confusion is quite understandable and it’s one of the reasons why the consultation is an invaluable factor in ultimately having a fulfilling experience. When I meet a patient for the first time I’m not only listening to what they’re saying, but I’m also observing their facial expressions. That, in itself, will tell me a lot. If, for example, they’re constantly pursing their lips when speaking, then I know that the lines on the upper and lower lip are due to muscular contractions, making this patient an ideal candidate for Botox. I would then explain to them how tiny drops of Botox would simply relax this area, not paralyse it. Afterwards, I might suggest that they follow up with a peel or a laser treatment. The combination of treatments will assure that the area remains smooth for even longer.
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