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Previous prospective studies have shown that low birth weight LBW, an indicator of lower fetal growth, promotes type 2 diabetes in adulthood. Alterations in вfetal programming,в as reflected in LBW, generate adverse effects on physiology, metabolism, and hormonal function during critical phases of fetal development. For example, it has been suggested that insulin resistance may be an important factor by which low birth weight leads to the development of type 2 diabetes mellitus. We arrived at Al Tawrah Hospital. My last visit to this structure was in September 2015 and the decrease in the number of patients really surprised me. Medical activities have declined considerably. The number of remaining medical equipment is limited, especially for anesthesia. There is little fuel available to run the generator. A Yemeni charity, based in Aden, managed to send 30 oxygen cylinders to Al Tawrah, which allowed the hospital to reopen part of its intensive care unit, but only for a limited time.

With invisible orthodontics the duration of the treatment is not longer, with the lingual technique the duration di-ertride usually one year or at most a year and a half. However, with clear aligners, orthodontics usually last longer, between two and two and a half years. At the end of August, MSF left Abidjan where the health system was functional again. In the West, on the other hand, the violence continues. MSF teams remain present there. Refugees told us about their journey, like Binta Kaou Elh Ma, 45 years old. She fled Nigeria with her 7 children and took refuge in the border town of Diffa, Niger.

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Certain illnesses depression, anxiety require parallel medical treatment. Mais qui sait que les collections pharmaceutiques de lвOrdre sont bien plus riches encoreв. Un enrichissement qui a pu se rГaliser au fil des annГes grГce Г plusieurs donations, dont Dominique Kassel, responsable des Collections. The school and neighboring buildings have only four toilets accessible to residents as well as the approximately 350 patients who visit the medical center each week. вEvery morning, when I wake up, I start by going to the toilet to wash my face and hands. Its always very dirty. The premises are cleaned every day, but everyone who passes through the room uses our toilets, so they quickly become disgusting.

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