Bad Temper

Bad Temper Bad Temper it is sometimes right even necessary to be angry.one is said to be a coward and a mean selfish person,who is not angry when he sees a wrong done to an innocent man,or a little child beaten and starved by cruel parents or a dumb animal tortured by cruel men.Anger is sometimes right and holy.But we cannot find even one good word to say for bad temper.that is always wrong and generally foolish.Bad temper is always selfish.a bad tempered person is very nice if u always let him have his own way.But if u cross the person in the smallest thing ,he/she flies into a rage.And then he/she will act like a mad person and do all kinds of unjust and unkind things even to his best friends.Bad temper is mainly due to lack of self control. Even the best persons have felt voxed and cross sometimes but they have learnt to ctrl.English: Angry cat

This is so gay!

This is so gay! This is so gay! This is so gay! By Maeve Maddox I recently received a comment on one of my posts that said, This is gay. As the comment made no sense in the context, I was puzzled. For those fogies like me who hadnt realized that the word gay has morphed again, heres a timeline of its changing meanings as illustrated in the OED. gay: adj. c1325 Noble; beautiful; excellent, fine. Example: Heo is†¦ graciouse, stout, ant gay, gentil, iolyf so à ¾e iay Translation: She is precious by day, gracious, splendid and excellent, gentle, jolly as a bird. (stout, meant stately, magnificent, splendid; iay refers to the European jay) c1380 Bright or lively-looking, esp. in colour; brilliant, showy. Example: Oppon à ¾e tour..à ¾ar stondeà ¾ a iuwel gay, An egle of gold à ¾at schynaà ¾ brigt so doà ¾ à ¾e sonne on may. Translation: Upon the towerthere stands a brilliant jewel, An eagle of gold that shines as does the sun in May. c1385 Of persons, their attributes, actions, etc.: light-hearted, carefree; manifesting, characterized by, or disposed to joy and mirth; exuberantly cheerful, merry; sportive. Example: A lay Of love..made hire herte fressh and gay. Translation: A story about lovemade her heart fresh and merry. 1597 Originally of persons and later also more widely: dedicated to social pleasures; dissolute, promiscuous; frivolous, hedonistic. Also (esp. in to go gay): uninhibited; wild, crazy; flamboyant. Example: Sum gay professors (kepinge secret minions) do love there wyues..to avoyde shame Translation: Some homosexual professors (keeping secret catamites) do love their wivesto avoid shame. 1922-2003  orig. U.S. slang. (a) Of a person: homosexual; (b) (of a place, milieu, way of life, etc.) of or relating to homosexuals. Examples: 1941 Gay, an adjective used almost exclusively by homosexuals to denote homosexuality†¦2003 Episcopalians took a big step toward electing their first openly gay bishop. 1978 slang (chiefly U.S.) (sometimes considered offensive). Foolish, stupid, socially inappropriate or disapproved of; ‘lame’. Examples: 1978 ‘It looks terrific on you.’ ‘It looks gay.’ 1987 Your so-stupid-theyre-funny captions are gay. Get into some [real] humor. These six definitions with their examples only scratch the surface of all the meanings that have been attached to the word gay since it entered the language from Anglo-Norman gai/gaye, and provide an excellent case study of the arbitrariness of language. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Expressions category, check our popular posts, or choose a related post below:Useful Stock Phrases for Your Business Emails5 Lessons for Mixing Past and Present TenseJanuary 1 Doesn't Need an "st"

Press Release on Bhp Billiton Issue Essay Example | Topics and Well Written Essays - 500 words

Press Release on Bhp Billiton Issue - Essay Example He also hinted that Woodside has a current petroleum project in the pipeline which will greatly benefit from this take over during its current final stages. Woodside Chief Executive Peter Coleman readily agreed with the statement of Nasser. He explained to the gathered press people that the current project is currently on hold due to budget constraints. Continuing the project would entail another $900 million, an amount which Bhp readily agreed to produce in order to continue the project Nasser and Coleman detailed that the acquisition will start with the 24% holdings purchase of Royal Dutch Shell on Woodside. A move which shall ramp up into the full-blown take over of Woodside in the span of one year. Drawing on an example of a good merger, acquisition or takeover press release you have found on the internet, identify three elements you think are important in a press release of this type. (This is worth 25 % of this assignment and must be no more than half a page in length). A: The elements of a good press release commonly follow the 5 Ws. That is: Who, What, Where, When, Why. Answering these 5 basic questions will already make up the whole press release as these are the pieces of information that the readers are interested in finding out. Another element of a good press release would be the factual element. A press release is not a piece of advertising. Instead, it is all about accurate information dissemination. Finally, a press release must carry an aura of authority in its news.  

Ethics & the War on Terror Assignment Example | Topics and Well Written Essays - 250 words

Ethics & the War on Terror - Assignment Example Basing on this it would be inappropriate to accord them the rights stipulated in the Geneva meeting as they are a threat to the society. Secret prisons such as the Guantanamo Bay are important in curbing terrorism. Terrorists are often scared by the thought of being taken to such prisons which have negative qualities and where only high profile law breakers are taken (North Atlantic Treaty Organization, 2014). The chances of escaping such harsh conditions alive are negligible and so that acts as a negative motivation to discourage the acts of terrorism. On the other hand such prisons may not be the best as the United States may not be so certain that the criminals will be accorded the right punishment as per their actions. Chances of escape are also increased. Responding to the student’s post on the Patriot Act that allows the government to access one’s texts, emails and chat messages, I concur with the argument that is presented that this is right since only the criminals have anything to hide in such conversations. This trend should therefore be upheld to address the cases of terrorisms and discourage it. The conversations often contain leading information to the criminals hide outs and their ill

An Examination of General and Specific Motivational Mechanisms Essay Example for Free

An Examination of General and Specific Motivational Mechanisms Essay Luc G. Pelletier and Stà ©phanie C. Dion’s report entitled An Examination of General and Specific Motivational Mechanisms for the Relations Between Body Dissatisfaction and Eating Behaviors aims to examine the relationship of body dissatisfaction with eating behaviors through a study of the different models of regulation of eating behaviors used by women. The study mainly uses the Self-Determination Theory (SDT) as a framework for examination of socio-cultural pressures and the `thin-ideal` as factors for body dissatisfaction and, in turn, body dissatisfaction as a cause of eating-related problems like binge eating, dietary restraint, and bulimia. Lastly, the study also looks at two different levels of motivation to explain the differences in the responses of women to socio-cultural pressures regarding body image, which lead to a difference in eating patterns. These two are the general self-determination or a sense of self-determination toward ones life and self-determination towards eating. Negative body image and its causes and effects have been the subject of many studies during the past decade. Due to its popularity as a topic for research, many of its findings are well-known and accepted by society at present. Among these are the role of media, peers, family, puberty and others in reinforcing the thin ideal, the relationship of women’s perceived discrepancies between their body ideal and body image with their satisfaction with their own body and the effect of negative body images to women’s eating habits. However, a review of the existing literature about body image reveals many interesting and sometimes unexpected findings. The first among these is the main basis of this study, which is self-determination. Deci and Ryan’s Self-Determination Theory shows that the level of women’s general self-determination in life may serve as a shield against the effect of the pressure exerted by society for women to be thin. This is interesting because this will show how body-image can be approached as a cyclical issue when joined with the findings on how positive body image can lead to confidence then to a positive self-determination. Second, body image may have an effect on many positive qualities such as attractiveness, success and intelligence. This shows attractiveness as more than just a fixed variable. It is not merely affected by the physical attributes one is born with, but also by how one feels about these physical attributes. Moreover, it emphasizes the gravity of the consequences that either a positive or negative body image may cause. Its affects can extend onto many non-physical aspects of a person’s life. In fact, another research shows that pressures from society to be thin can change individual core beliefs as regards the importance of physical appearance compared with other values. Another interesting finding is that body dissatisfaction may be addressed by either self-reinforcement or by aiming to change one’s appearance. People are more familiar with the second approach, which includes exercising and dieting. However, it is interesting to find that grooming and other forms of self-reinforcement are also used. While these forms of self-reinforcement may have been admitted to be used by people to enhance their self-image, it is not easily identifiable to have a direct correlation to body image. Moreover, this type approach shows a more positive and less destructive way of addressing issues on body image.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Seven hypotheses were tested in the research. They are stated in the article as follows. First, general self-determination will be negatively associated with both socio-cultural pressures about body image and the endorsement of society’s beliefs about thinness and obesity. Second, socio-cultural pressures should be positively linked to the endorsement of society’s beliefs, which, in turn, will positively predict body dissatisfaction. Third, although body dissatisfaction is expected to positively predict both an autonomous and a controlled form of regulation of eating behaviors, it should lead mainly to a controlled regulation of eating. Fourth, the autonomous form of regulation of eating will be positively associated with healthy eating behaviors, whereas the controlled form of regulation will be positively associated with dysfunctional eating behaviors. Fifth, general self-determination should be positively associated with the autonomous form of regulation and negatively associated with the controlled form of regulation. Sixth, the autonomous regulation of eating behaviors will be positively associated with healthy eating behaviors and negatively associated with bulimic symptoms, whereas the controlled regulation of eating behaviors will be positively associated with dysfunctional eating and negatively associated with healthy eating behaviors. Finally, healthy eating behaviors should positively predict psychological adjustment, whereas dysfunctional eating should negatively predict psychological adjustment. These hypotheses aim to test the relationship of general self-determination, body image, body dissatisfaction, forms of regulation of eating behaviors, eating habits and psychological adjustment among each other. Methodology The study was done on 447 female students, ages 16 to 54 from two universities—the University of Ottawa and the Carleton University. Of these students 78.2% are taking undergraduate degrees from the University of Ottawa, 20% are graduate students from the same university, while the remaining 1.2% are enrolled at Carleton University. The researchers adopted several scales and indexes to test its hypotheses. Enumerated in the study are the General Motivation Scale (GMS), Teasing Assessment Scale, Body Dissatisfaction Subscale (EDI-BD), Regulation of Eating Behaviors Scale (REBS), Healthy Eating Habits Scale, Dysfunctional Eating (BULIT-R), Psychological Adjustment Index (PAI), Depressed Mood Scale (CES-D), Self-Esteem Scale (SES) and the Satisfaction with Life Scale (SWLS). The tests are composed of statements and questions, which the respondents assess using a Likert scale with around five to seven points for rating. The scales are usually divided in several subscales with equal number of items based on the nature of the hypothesis being tested. They have been previously used in other studies and their reliability and validity have been tested. Results and Discussion The study was able to prove all six hypotheses. These hypotheses will be discussed in three groups. These groups are general self-determination and determinants of body dissatisfaction, general self-determination and forms of regulation of eating behaviors and consequences of the forms of regulation of eating behaviors on psychological adjustment. The last group will be divided into the association of autonomous and controlled eating regulation to healthy and dysfunctional eating habits and the relationship of eating behaviors with psychological adjustment. The first discussion group pertains to the first and second hypotheses. Findings show that general self-determination has a positive association with autonomous regulation of eating behaviors, while it has a negative association with controlled regulation of eating. In relation to this, general self-determination has a negative relation with socio-cultural pressures about body image and the endorsement of society’s beliefs about thinness and obesity. On the contrary, socio-cultural pressures about body image and endorsement of society’s beliefs about thinness and obesity have a positive association, while the latter is positively associated with body dissatisfaction. The cause for this result was explained to be that the more women perceived socio-cultural pressures about body image, the more they internalized societal beliefs about thinness and obesity, which causes them to have body dissatisfaction. However, general self-determination allows them to be more motivated to act according to their own values, rather than be pressured socio-cultural messages of thinness. People with general self-determination are more likely to measure self-worth based on personal growth, meaningful relationships and other intrinsic values, rather than by using extrinsic values such as physical attractiveness. The second discussion group relates to the third and fifth hypotheses. It was found that both autonomous and controlled eating behaviors are good motivational mechanisms and have a positive association to body dissatisfaction. However, the association of controlled regulation, which is ÃŽ ² = .74 is stronger than autonomous regulation’s ÃŽ ² = .14. In addition to this, it was found that general self-determination in life caused them to be self-determined in the regulation of their eating behaviors, which is a specific life domain. The third discussion groups relates to the fourth, fifth and sixth hypotheses. As for the fourth and sixth hypotheses, majority of women who are dissatisfied with their body image eat in a restrictive manner due to the motivation to reduce body dissatisfaction caused by internal pressures such as guilt or shame or external pressures such as media and parents about body image and the endorsement of beliefs about thinness and obesity. Controlled regulation has a positive association with dysfunctional eating behaviors and a negative associated with healthy eating behaviors. On the contrary, women with greater self-determination tend to have healthy eating habits because they have less probability of perceiving socio-cultural pressures about body image and internalize societal beliefs about thinness and obesity. Unlike its negative relation with dysfunctional eating behaviors, autonomous regulation has a positive relation to healthy eating behaviors. Lastly, as regards the last hypothesis, positive psychological adjustment are found have a positive connection with healthy eating behaviors. On the contrary, it has a negative relation with dysfunctional eating behaviors. The results of the study suggest that healthy eating behavior may be a necessary condition for global psychological adjustment. These findings may provide new approaches to understanding and treating body image-related issues and eating disorders. Having built the relationship between body dissatisfaction and eating disorders, specialists may focus on increasing self-esteem rather than emphasizing the evils of unhealthy eating habits. They may also begin looking at the motivational perspective introduced in the study and adapt treatment according to what motivates a woman to adopt weight control habits. Summary In summary, the results were interpreted to show that societal pressures and self-determination may be seen as competing factors that determine body dissatisfaction, with societal pressures as the cause for the endorsement of societal beliefs about obesity and thinness, while self-determination as the buffer against it. Both body dissatisfaction and self-determination have an effect on the kind of eating regulation a woman may adopt. This may result to either a healthy or dysfunctional eating habit among women. However, the authors offered an alternative explanation for the results. The explanation is actually a reverse of the second hypotheses. According to the authors, body dissatisfaction may have been the cause for women to endorse society’s belief, rather than the inverse, because such dissatisfaction may lead women to pay more attention socio-cultural pressures about body image.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Several other topics related to this area of research may be examined in the future. First, researchers can look at satisfaction or dissatisfaction caused by the body image formed relative to the body type of the person with whom a subject has constant contact with. Some people may feel less overweight when placed with obese people than when placed with thin people and vice versa. Second, researchers may delve into more deeply into other means women address body dissatisfaction such as exercise, and determine what factors cause women to choose a certain approach. This may also be related to general self-determination such that researchers may examine which between exercising or other means of addressing body dissatisfaction and dieting, or a combination of both, is used by women with different levels of self-determination. Lastly, the present study may also be replicated using different genders, attributes, and means of addressing body dissatisfaction. Very interesting results may arise from the study of gays and lesbians.

Blood, Guts and Glory: Thalassemia Patients Battle for a Better Life :: Journalism Journalistic Essays

Blood, Guts and Glory: Thalassemia Patients Battle for a Better Life When his company offered Vikram*, a systems analyst in Toronto, a transfer to Montreal with a promotion and pay raise, he was delighted but concerned. The 31-year-old unmarried Vikram worked twice as hard in his job to make up for the time he took off for medical reasons. The promotion was a justified reward for his hard work. But the question bothering Vikram, the issue that would determine his decision whether to accept the posting, was: Will I find a Thalassemia care center in Montreal? It was not the first time this unique blood disorder was the deciding factor for the choices Vikram made. â€Å"Thalassemia makes all the decisions for me,† he said. At nine months, Vikram was diagnosed with Thalassemia, a genetic non-communicable blood disorder. Born and raised in India, he spent his early years in and out of hospitals. His parents moved to Canada but Vikram had to stay back with his grandparents because his parents could not cope with earning a living and paying his medical bills. â€Å"After my grandparents passed away, I struggled with the costs and poor facilities for Thalassemia care in Delhi before deciding to move to Canada,† said Vikram, who shifted to Toronto when he was in his twenties. He has needed consistent and frequent blood transfusions, ranging from one unit (or bag) of blood every two months to one unit every seven days. Currently, he needs three units of blood every four weeks. Vikram explained that he visits a clinic for the transfusion. Here, a pump pushes blood into his veins at a constant speed. Each unit takes about two hours to be transfused which means Vikram must spend from six to eight hours in the clinic. This transfusion gives his blood an iron overload. Vikarm then has to take iron chelation (kee-LAY-shun) which involves infusions of the drug Desferal to remove excessive iron from his blood and organs for five full days. The Desferal infusion, he added, is more painful. He has a portocathetor, which is a device under his skin in his chest. This is connected to a needle which is attached to a syringe pump every Monday to infuse the drug continuously for five days. The pump, which Vikram wears on his waist, is about the size of an oversized palm-pilot and weighs a pound-and-a-half. It buzzes every time it pushes the medicine.

Pregnancy Induced Hypertension

[pic] OBSTETRICS POSTING CASE WRITE-UP PREGNANCY INDUCE HYPERTENSION Name: Muhammad Azraie B. Mat Ali Matrix Number: 1090265 Patient Identification Name: Nur Asilah Bt. Johari Age: 23 year old Race: Malay Sex: Female Address: Taman Raja Abdullah Occupation: Student D. O. A. : 13 March 2013 I/C: 900208035442 LMP: 27 June 2012 – sure of date – not on breast feeding – not on contraceptive – regular menses POA: 37/52 EDD: 4 April 2013 Chief Complaint(s) This is a referred case from Klinik Kesihatan Jalan Raja Abdullah for high blood pressure during regular ante-natal check-up for 1 day duration.History Of Presenting Illness Patient was apparently well until 1 day ago when she was diagnosed to have high blood pressure during her regular antenatal check-up at Klinik Kesihatan Jalan Raja Abdullah. She was normotensive throughout the antenatal check-up before until yesterday when the doctor noticed that her blood pressure was high which was 170/100 mmHg for three time consecutively. She denied of having an essential hypertension before and no positive family history of hypertension.On further questioning, she had headache, otherwise she not had any sign and symtoms of impending eclampsia such as blurring of vision, vomiting, epigastric pain and syncope prior to the admission. She claimed the first episode of headache was during last antenatal check up where she was diagnosed to have high blood pressure. History Of Presenting Pregnancy Pregnancy was suspected when she missed her menses for 4/52. It was confirmed by doing urine pregnancy test (UPT) at private clinic. At that time, no early ultrasound was done.She claimed that she experienced symptoms of early pregnancy such as nausea, vomiting and headache that last until 20/52 POA. Booking was done during 13/52 POA at Klinik Kesihatan Jalan Raja Abdullah. At that time, blood and urine investigation was done. Her blood pressure at that time was 112/70 mmHg. Blood group was O positive and VDRL was non-reactive. Urine investigations also normal. She attended all the ante-natal clinic regularly and all was uneventful. Symphyseal-fundal height was correspond to the date throughout the check-up.She was also normotensive throughout the visit until the last visit when her blood pressure was rise up. Quickening was felt at 20/52 POA and it was increasing in the frequency and intensity. Past Obstetric History She married in year 2011 at the age of 21 and this is her first pregnancy. Past Gynaecology History She attained menarche at the age of 13. She had a regular menses flow of 5 to 6 days duration with 28 to 30 days per cycle. It peaks on day 2 with no history of menorrhagia and dysmenorrhea. She denied of having any history of intermenstrual bleed and post-coital bleed.She not practicing any method of contraceptive and no pap smear was done before. Systemic Review Systemic review was unremarkable. She had no heart disease symptoms that can cause by hypertension, no headache, n o nausea and vomiting, and also no blurring of vision. Past Medical and Surgical History This is her first admission to the hospital. There was no history of asthma, essential hypertension, diabetes mellitus and heart disease in this patient. He denied of having any surgical intervention before. Family History All of her siblings were in good health.There was no history of twin or congenital abnormalities in her family. Both of her parents are still alive and in good health. Social And Personal History She live with her husband at Taman Jalan Abdullah. She is a student,and she denied smoking and consume alcohol. Her husband also a student, non smoker and not consume alcohol. Diet And Drug History There was no known drug and food allergies. Summary My patient, a 23 year old lady primigravida at 37/52 POA was admitted due to increased blood pressure during ante-natal check-up which was symptomatic. PHYSICAL EXAMINATION General Examination:The patient was lying supine comfortably suppo rted with one pillow. She was not in pain and not in respiratory distress. She is a medium built woman with clinically adequate nutritional and hydrational status. There was no gross deformity and skin colour changes in this patient. No attachment of iv branula on her limbs. Vital Signs: Blood pressure: 140/88 mmHg Pulse: 96 beats per minute. Regular rhythm and good volume. Temperature: 37oC Respiratory rate: 20 breaths per minute General Systemic Examination: Hand: The palm was warm and moist. The palmar creases was pink/not pale.No palmar erythema. No peripheral cyanosis and clubbing. Head and Neck: No jaundice and the conjunctiva was pink. Oral hygiene was good, no central cyanosis and the tonsil was not injected. Lower Limb: There was no ankle edema. Per Abdomen Examination: The abdomen was distended with gravid uterus as evidence of linea nigra and striae gravidarum. The umbilicus was centrally located and flat. No dilated veins and surgical scar. Abdomen was soft and non-tende r. Clinial fundus correspond to 38 weeks of gestation. Symphyseal-fundal height was 36 cm, which was corresponding to date.It was a singleton baby. Longitudinal lie with cephalic presentation and fetal back was at mother's left. The fetal head was not engaged. Liquor was clinically adequate. Fetal heart sound was heard. Examination Of Other System i. Cardiovascular System – apex beat was located at the left 4th intercostal space, lateral to the mid-clavicular line. – Both heart sound was present, and no additional sound. ii. Respiratory System – Air entry was normal and equal both sided. No additional sound was present. iii. Central Nervous System – All motor and sensory was grossly intact.Reflexes was normal. Summary: The patient, 23 year old primigravida at 37/52 POA, was examined and showed high blood pressure. All the reflexes were normal. Other system was normal. _____________________________________________________________________ Problem List: i. P rimigravida ii. High blood pressure INVESTIGATION 1. Urine Analysis ( 24 Hr Urine Protein ) To look any presence of protein in the urine to exclude pre-eclampsia and to assess the severity of the proteinuria quantitatively. Result : Negative finding. Interpretation : No proteinuria in this patient. 2. Full Blood CountTo assess haemoglobin and platelet count in this patient. Result : WBC9. 79Ãâ€"109/L Hb13. 2g/dL Plt270x109/L Interpretation : All parameters shows no abnormalities. 3. Renal Function Test To assess glomerular and tubular function of the kidney. Result : Sodium135 mmol/L Potassium4. 0 mmol/L Urea3. 0 mmol/L Interpretation : All parameters shows no abnormalities. 4. Liver Function Test To assess the level of aminotransferases and protein level especially albumin level Result : ALP134 ALT11 Bilirubin4 Total protein64 Albumin34 Interpretation : No abnormalities. 5. UltrasoundTo assess fetal condition, look for placenta pathology Result : BPD90. 6 mm36W5D FL64. 0mm37W6D HC 328 mm37W2D EBW2. 40 – 2. 60 kg Placenta : Fundal grade III Interpretation : Normal Amniotic Fluid Index : To assess the amniotic fluid volume ( poly-, normal, or oligohydramnios ) Result : 12. 0 PROVISIONAL DIAGNOSIS Gestational Hypertension Evidence: †¢ History – increased blood pressure more than 140/90 mmHg during last ANC – occur after gestational age more than 20 weeks – no proteinuria – no history of essential hypertension before †¢ Physical examination & investigation high blood pressure (170/100 mmHg) MANAGEMENT Aim of management : 1. Control the hypertension 2. Monitor the fetus condition by doing fetal kick chart and cardiotocography 3. Don’t allowed postdate 4. A tablet of Aldalat (Nifedipine) 10 mg 3 times daily 5. Daily monitoring of blood pressure for every 4 hours 6. Deliver the baby by induction of labour if more than 35 POA 7. Plenty of bed rest DISCUSSION PREGNANCY-INDUCED HYPERTENSION Definition :- Increase in b lood pressure after 20 weeks of gestation: †¢ BP ? 140/90 mmHg †¢ An ^ in systolic BP ? 30 mmHg over baseline An ^ in diastolic BP ? 15 mmHg over baseline BP measurement : Taken at least 6 hours apart with the patient at rest PIH can be divided into : †¢ Pre-eclampsia – mild, severe †¢ Gestational HPT †¢ Eclampsia As we received a pregnant woman with a high blood pressure during ante-natal check-up, we should bare in mind that one of the possible causes of it is Pregnancy Induced Pregnancy (PIH). In this case, full history of the patient should be taken including full obstetric history, signs and symptoms of heart disease, liver disease and renal disease to exclude any possibility of ssential hypertension and also signs and symptoms of impending eclampsia. As in this patient, there was no history of essential hypertension or family history of hypertension, and the high blood pressure was only discovered during ante-natal check-up at late pregnancy whi ch is at 37 weeks POA. She was diagnosed to have Pregnancy Induced Hypertension which are mild in severity because the blood pressure was maintained around 170/100 mmHg on subsequent ante-natal visit. She was not diagnosed to have pre-eclampsia because no proteinuria.Several investigation was done in this patient to look for any complication of pregnancy induced hypertension in the mother and the fetus. All parameters of the investigation show no abnormalities. It is because the hypertension is mild in severity and it occurs quite late in the pregnancy which make the complication difficult to arise. Complications of hypertension in pregnancy There are several complication that can occur in Pregnancy Induced Hypertension. Maternal :- †¢ Cerebral haemorrhage †¢ Heart failure †¢ Hepatic necrosis Acute tubular necrosis of the kidney Placental :- †¢ Placental insufficiency †¢ Abruptio placenta †¢ Oligohydramnios Fetus :- †¢ Intrauterine growth retardati on Drugs that can be used in pregnancy 1. Methyldopa (Aldomet) †¢ It is a central adrenergic inhibitor †¢ Action: v symphatetic activity, v total peripheral resistance †¢ Adverse effect : lethargy, drowsiness †¢ It is the safest drug in pregnancy 2. Labetolol (Trandet) †¢ ? /? adrenergic blocker †¢ Action : v total peripheral resistance, v cardiac output †¢ Adverse effect : fetal bradycardia, IUGR Contra-indication : 1st degree heart block, severe asthma 3. Nifedipine (Adalet) †¢ Calcium channel blocker †¢ Action : inhibit calcium influx in vascular smooth muscle †¢ Adverse effect : headache, reflux tachycardia, flushing 4. Hydralazine †¢ Peripheral vasodilator †¢ Action : direct action on vascular smooth muscle, v TPR †¢ Adverse effect : headache, sweating, nausea, palpitation †¢ Indication of use : in hypertension crisis In the ward, the blood pressure of the patient was controlled by given her good bed rest and daily monitoring of blood pressure.Other than that, the fetus condition monitored by doing cardiotocography (CTG). She also planned to have induction of labour. Indications for labour in this patient The indications for labour in this patient are :- i. She is at term ii. Delivery of the baby is the only treatment to bring down the blood pressure in pregnancy induced hypertension Risks of induction of labour 1. Failed induction – indicates that the attempt to induce labour has failed to result in full dilatation of the cervix. 2. Uterine hyperstimulation – which can cause fetal distress and uterine rupture