1. Genetic disorders are caused by changes or mutations in genes or chromosomes. Methods to prevent genetic disorders include genetic screening and testing, genetic counseling, vaccinations, and supplementation.
2. Genetic screening programs like prenatal screening, carrier screening, neonatal screening, and premarital screening help identify risks for genetic conditions. Techniques include blood tests, ultrasounds, and in some cases tissue sampling.
3. Factors that can influence fetal development and potentially cause birth defects include certain medications, illnesses, nutritional deficiencies, and environmental exposures called teratogens. Maintaining good prenatal health through diet, exercise, avoiding teratogens, and taking folic acid can help reduce risks.
Genetic counseling: Introduction, definition, purposes of genetic counseling, indications of genetic counseling, beneficiaries of genetic counseling, phases of genetic counseling, role of nurse in genetic counseling, application of genetic counseling.
This presentation will help to get an insight into Epidemiological methods and describes details of Descriptive epidemiology. It will be useful to medical researcher as an initial input.
Global Medical Cures™ | Genetic Testing Handbook
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Genetic counseling: Introduction, definition, purposes of genetic counseling, indications of genetic counseling, beneficiaries of genetic counseling, phases of genetic counseling, role of nurse in genetic counseling, application of genetic counseling.
This presentation will help to get an insight into Epidemiological methods and describes details of Descriptive epidemiology. It will be useful to medical researcher as an initial input.
Global Medical Cures™ | Genetic Testing Handbook
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Hereditary blood disease is common in Bahrain due to consanguinity marriage. Fighting it is both costly and takes hard efforts. The presentation talks about Thalassemia and Bahrain's experience in combating it.
Ques-1 Prenatal diagnosis has both positive and potentially negativ.pdfapleathers
Ques-1: Prenatal diagnosis has both positive and potentially negative consequences. While it is
most often used to detect serious problems with the fetus, the technology can also be used
potentially to select embryos based on sex, appearance, Where do you think we should draw the
line in allowing parents to use prenatal diagnosis
Answer:
Genetic testing is performed for prenatal diagnosis to know any chromosomal or genetical -
inherited abnormalities of implanted human embryo. It has positive consequence, as some
couples would like to avoid getting a baby with genetic abnormalities. However, there are
negative consequences such as various \"ethical and moral issues of prenatal diagnosis as
explained below. Therefore, it is crucial to draw a line when conducting prenatal diagnosis
finally a couple musty get legal permissions to undergo prenatal diagnosis.
Screening tests for genetic issues can be performed in the first trimester, second trimester or both
trimesters. Carrier testing is also an option performed prior to or during pregnancy. Carrier
testing provides information as to whether one or both parents are carriers for certain inherited
disorders. The results of these tests are used to determine an appropriate plan of care for the
patient. Genetic testing of the fetus and the parents offers both opportunities and ethical
challenges. As a Registered Nurse, you need to be aware of your own feelings in order to provide
non-biased professional support.
Implications of genetic testing:
Genetic testing is the pre-implantation technology is now currently using in detecting and
screening embryo in order to assess whether the resultant embryos from fertilization are normal
or abnormal genotypically. A registered nurse must advice & support to a couple seeking
guidance about the genetic testing because genetic screening has various ethical and moral
aspects. The major rising ethical challenge is the connection between the pre-selection of
embryos based on meticulous genetic analysis followed by rising discrimination of disabled
people. This ethical problem is associated with selection of future children based on their low
levels of disabilities and abnormalities.
Ethical challenges with preimplantation of genetic testing or diagnosis (PGD):
1. PGD allows embryo selection after pregnancy or even before initiation of pregnancy.
However, this procedure is very controversial and faces a variety of moral ethics that are
completely relies upon moral status of embryo and prenatal diagnosis in selecting progeny
without the use of abortion (medical issue).
2. The major rising ethical challenge is the connection between the pre-selection of embryos
based on meticulous genetic analysis followed by rising discrimination of disabled people, a
psychological moral issue. This ethical problem is associated with selection of future children
based on their low levels of disabilities and abnormalities. A clinic should have license primarily
to perform preimplantatio.
GENETIC TESTING: Introduction, definition, methods: molecular, chromosomal and biochemical, indications, types: preimplantation, forensic, newborn, carrier, prenatal, ethical, social and legal issues, interpretation of tests, risks and limitations, role of nurse
Genetic testing (evaluation)
This is a type of clinical test that identifies changes in chromosomes, genes, or proteins. Genetic testing can provide information about a person's genes and chromosomes.
The results of a genetic test can confirm or rule out a suspected genetic condition or help determine a person’s chance of developing or passing on a genetic disorder.
At present, more than 1,000 types of genetic tests are currently in use, and more are being developed.
Methods used for genetic testing:
Molecular genetic tests (or gene tests): It tests single genes or short lengths of DNA to identify variations or mutations that lead to a genetic disorder.
Chromosomal genetic tests: It analyze whole chromosomes or long lengths of DNA to see if there are large genetic changes.
Biochemical genetic tests: It tests the amount or activity level of protein abnormalities to indicate changes in the DNA that result in a genetic disorder.
Genetic testing is voluntary. Because testing has benefits as well as limitations and risks, the decision about whether to be tested is a personal and complex one. A geneticist or genetic counselor can help by providing information about the pros and cons of the test and discussing the social and emotional aspects of testing.
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Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
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1. Prevention of genetic
disorder
Done by:
Wafa Bahshwan
Hind alshankiti
Hanan bamousa
Hayah selali
Under the supervision:
Dr.Mohammad Al-hefny
4/4/20181
2. Prevention of genetic disorder
• What is genetic disease ?
• Methods to prevent genetic disorder .
• Screening program in KSA and worldwide ( PMS ,NNS ) .
• PGD
• Teratology and teratogens ( definition , effect ,example )
• Maternal health during pregnancy .
4/4/20182
3. 1- What is genetic disease ?
A genetic disease or disorder is the result of
changes, or mutations, in genes or chromosome .
(Abnormalities can be as small as a single-base mutation in just one
gene, or they can involve the addition or subtraction of entire
chromosomes).
4/4/20183
4. 2- Methods to prevent genetic disorder
Genetic screening
and testing genetic counseling
Vaccinating and
supplementation
4/4/20184
5. 2.1 - genetic counseling
Genetic counseling is a process to
evaluate and understand a family's
risk of an inherited medical
condition.
A genetic counselor is a
healthcare professional with
specialized training in
medical genetics and counseling.
4/4/20185
7. 2.2.1- Carrier screening
4/4/20187
offered to individual who
have a family history of a
genetic disorder & people
in a ethnic group with an
increased risk of specific
genetic conditions
if both parents are tested
, the test can provide
information about a
couples risk of having a
child with a genetic
condition.
9. 2.2.2-Prenatal screening
Prenatal screening is offered during pregnancy to help identify fetuses that have
certain diseases ex; (Down syndrome)
These usually involve blood tests , an ultrasound and some times Chorionic Villus
Sampling
4/4/20189
They test baby overall
development and check
to see if
baby is at risk for
genetic conditions.
They also check baby
for heart defects,
cystic fibrosis, and
other developmental
problems
12. 2.2.3- NNS in Saudi Arabia
There is more than 30
board certified clinical
geneticists in Saudi
Arabia.
4/4/201812
The first Saudi national
newborn screening
program was for congenital
hypothyroidism and was
established in November
1989
More recently, the MOH
has assumed full
responsibility of newborn
screening, which is now
performed as a national
program.
13. 2.2.3- Neonatal screening (NNS)
Neonatal screening is the practice of testing every newborn for certain
harmful or potentially fatal disorders that aren't otherwise apparent
at birth.
4/4/201813
Example of Tests
Are done :
galactosemia
sickle cell
disease
congenital
hypothyroidism
14. ِEX of Disorder diagnosed by NNS
galactosemia
sickle-cell anemia
4/4/201814
15. How is the neonatal screening done?
4/4/201815
16. 2.2.4- PMS in Saudi Arabia
years ago Saudi Arabia has
a high prevalence of
hereditary hemoglobin
disorders
4/4/201816
premarital screening in
Saudi Arabia markedly
reduced the number of at-
risk marriages, which may
considerably reduce the
genetic disease .
Now couples who are
going to married should
pass on this screening and
it’s provided free in
Accredited Premarital
Screening Centers
18. What tests are done in Premarital Screening
genetic blood
diseases
sickle-cell
anemia
thalassemia
infectious
diseases
hepatitis
B, C
AIDS/HIV
4/4/201818
N.B: father cannot pass the infection directly to the baby but mother can
gives her baby the infection during delivery
19. ِEX of Diseases diagnosed by PMS:
sickle-cell anemia
4/4/201819
21. Ovary stimulation
oocyte retrieval
sperm collecting
preimplantation genetic diagnosis
Transfer of the fetus
Steps of PGD :
1- giving some hormones
(FSH) as pills to stimulate
ovary to produce high
number of ovum
2- (ovum-pick up)
Collecting ovum from
uterus
3- Intracytoplasmic sperm
injection (ICSI) sperm is
injected into an egg to
fertilization in vitro
5- transformation of the
normal embryo after the
screening inside the uterus
*Description of each step is in the same color from the opposite site
1
2
3
4
5
4- screening of the
chances of genetic defects
within embryos
4/4/201821
23. 2.3- Vaccinating and supplementation
• Vaccinating :
• antigenic material to stimulate an
individual's immune system
• ex ; ( Vaccines against rubella to prevent
genetic defects in the fetus )
figure A
• Supplementation:
Are medicines which given before and
during pregnancy
ex ; (folic acid to prevent of
neural tube defect in newborn)
figure B,C
a b
c
4/4/201823
24. 3- Teratology and teratogens
• Teratogen:
• Any agent that can disturb the
development of an embryo or fetus
(cause a birth defect).
• About 4 to 5 percent of birth defects
are caused by exposure to a teratogen.
• Teratology:
⁃ Teratology is the science that studies birth defects , the
causes, mechanisms, and patterns of abnormal
development.
and its goals are:
(1) to describe and determine etiology ( األمراض أسباب علم ).
(2) to explore mechanisms involved in the production of
birth defects.
(3) to devise means of prevention .
27. 3.2-The effect of Teratogen
Teratogens may be do their effect
and cause these results:
• mutations
• chromosomal abnormality
• disturbances in cell division
• changes in nucleic acid composition and protein synthesis
• reduction of energy supply for embryonic and foetal
development
• disturbances of enzyme systems
• disturbances in the regulation of water and electrolyte
balance
• changes in membrane characteristics
28.
29. They should also use
caution when taking
certain medications.
Some medications
that are normally safe
can cause serious
birth defects .
.
pregnant should start
taking folic acid
supplements before
conception To prevent
defects of the spine and
brain defects.
drug groups may cause birth defects in a developing fetus;
some antibiotic ,high doses of vitamin A,, ACE (angiotensin
converting enzyme) inhibitors
Many birth defects can’t be prevented, but there are some ways to
lower the risk of having a baby with a birth defect:
4-Maternal health during pregnancy
30. Exercise:
Moderate exercise is not
only considered safe for
pregnant women, it’s
encouraged and thought to
benefit both mom and
growing baby
Nutrition:
Eating a nutritious diet
during pregnancy is linked
to good fetal brain
development, , and it
reduces the risk of many
birth defects.
Maintaining a healthy
weight also helps reduce
the risk of complications
during pregnancy.
4-Maternal health during pregnancy