A group of motor impairment syndromes resulting from disorders of early brain development and often associated with epilepsy and abnormalities of speech, vision and intellect
Down syndrome is a genetic disorder which is associated of mental retardation and intellectual disabilities
The physiotherapy can help to manage of children with down syndrome
Down’s syndrome health problems and strategies for careKhulood Alzahrani
- What is Down syndrome
- Incidence and Types of Down syndrome
- General features of person with Down syndrome
- Complications associated with Down syndrome
- Mental health and behavioral problems and its management
- Features Related to Dentistry
- Managements in dental clinic
A group of motor impairment syndromes resulting from disorders of early brain development and often associated with epilepsy and abnormalities of speech, vision and intellect
Down syndrome is a genetic disorder which is associated of mental retardation and intellectual disabilities
The physiotherapy can help to manage of children with down syndrome
Down’s syndrome health problems and strategies for careKhulood Alzahrani
- What is Down syndrome
- Incidence and Types of Down syndrome
- General features of person with Down syndrome
- Complications associated with Down syndrome
- Mental health and behavioral problems and its management
- Features Related to Dentistry
- Managements in dental clinic
https://www.nationaleatingdisorders.org/learn/by-eating-disorder/arfid
AVOIDANT RESTRICTIVE FOOD INTAKE DISORDER (ARFID)
Avoidant Restrictive Food Intake Disorder (ARFID) is a new diagnosis in the DSM-5, and was previously referred to as “Selective Eating Disorder.” ARFID is similar to anorexia in that both disorders involve limitations in the amount and/or types of food consumed, but unlike anorexia, ARFID does not involve any distress about body shape or size, or fears of fatness.
Although many children go through phases of picky or selective eating, a person with ARFID does not consume enough calories to grow and develop properly and, in adults, to maintain basic body function. In children, this results in stalled weight gain and vertical growth; in adults, this results in weight loss. ARFID can also result in problems at school or work, due to difficulties eating with others and extended times needed to eat.
DIAGNOSTIC CRITERIA
According to the DSM-5, ARFID is diagnosed when:
· An eating or feeding disturbance (e.g., apparent lack of interest in eating or food; avoidance based on the sensory characteristics of food; concern about aversive consequences of eating) as manifested by persistent failure to meet appropriate nutritional and/or energy needs associated with one (or more) of the following:
· Significant weight loss (or failure to achieve expected weight gain or faltering growth in children).
· Significant nutritional deficiency.
· Dependence on enteral feeding or oral nutritional supplements.
· Marked interference with psychosocial functioning.
· The disturbance is not better explained by lack of available food or by an associated culturally sanctioned practice.
· The eating disturbance does not occur exclusively during the course of anorexia nervosa or bulimia nervosa, and there is no evidence of a disturbance in the way in which one’s body weight or shape is experienced.
· The eating disturbance is not attributable to a concurrent medical condition or not better explained by another mental disorder. When the eating disturbance occurs in the context of another condition or disorder, the severity of the eating disturbance exceeds that routinely associated with the condition or disorder and warrants additional clinical attention.
RISK FACTORS
As with all eating disorders, the risk factors for ARFID involve a range of biological, psychological, and sociocultural issues. These factors may interact differently in different people, which means two people with the same eating disorder can have very diverse perspectives, experiences, and symptoms. Researchers know much less about what puts someone at risk of developing ARFID, but here’s what they do know:
· People with autism spectrum conditions are much more likely to develop ARFID, as are those with ADHD and intellectual disabilities.
· Children who don’t outgrow normal picky eating, or in whom picky eating is severe, appear to be more likely to develop ARFID.
· Many children with ARFID ...
Premium MEAN Stack Development Solutions for Modern BusinessesSynapseIndia
Stay ahead of the curve with our premium MEAN Stack Development Solutions. Our expert developers utilize MongoDB, Express.js, AngularJS, and Node.js to create modern and responsive web applications. Trust us for cutting-edge solutions that drive your business growth and success.
Know more: https://www.synapseindia.com/technology/mean-stack-development-company.html
Cracking the Workplace Discipline Code Main.pptxWorkforce Group
Cultivating and maintaining discipline within teams is a critical differentiator for successful organisations.
Forward-thinking leaders and business managers understand the impact that discipline has on organisational success. A disciplined workforce operates with clarity, focus, and a shared understanding of expectations, ultimately driving better results, optimising productivity, and facilitating seamless collaboration.
Although discipline is not a one-size-fits-all approach, it can help create a work environment that encourages personal growth and accountability rather than solely relying on punitive measures.
In this deck, you will learn the significance of workplace discipline for organisational success. You’ll also learn
• Four (4) workplace discipline methods you should consider
• The best and most practical approach to implementing workplace discipline.
• Three (3) key tips to maintain a disciplined workplace.
The world of search engine optimization (SEO) is buzzing with discussions after Google confirmed that around 2,500 leaked internal documents related to its Search feature are indeed authentic. The revelation has sparked significant concerns within the SEO community. The leaked documents were initially reported by SEO experts Rand Fishkin and Mike King, igniting widespread analysis and discourse. For More Info:- https://news.arihantwebtech.com/search-disrupted-googles-leaked-documents-rock-the-seo-world/
At Techbox Square, in Singapore, we're not just creative web designers and developers, we're the driving force behind your brand identity. Contact us today.
B2B payments are rapidly changing. Find out the 5 key questions you need to be asking yourself to be sure you are mastering B2B payments today. Learn more at www.BlueSnap.com.
Implicitly or explicitly all competing businesses employ a strategy to select a mix
of marketing resources. Formulating such competitive strategies fundamentally
involves recognizing relationships between elements of the marketing mix (e.g.,
price and product quality), as well as assessing competitive and market conditions
(i.e., industry structure in the language of economics).
"𝑩𝑬𝑮𝑼𝑵 𝑾𝑰𝑻𝑯 𝑻𝑱 𝑰𝑺 𝑯𝑨𝑳𝑭 𝑫𝑶𝑵𝑬"
𝐓𝐉 𝐂𝐨𝐦𝐬 (𝐓𝐉 𝐂𝐨𝐦𝐦𝐮𝐧𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬) is a professional event agency that includes experts in the event-organizing market in Vietnam, Korea, and ASEAN countries. We provide unlimited types of events from Music concerts, Fan meetings, and Culture festivals to Corporate events, Internal company events, Golf tournaments, MICE events, and Exhibitions.
𝐓𝐉 𝐂𝐨𝐦𝐬 provides unlimited package services including such as Event organizing, Event planning, Event production, Manpower, PR marketing, Design 2D/3D, VIP protocols, Interpreter agency, etc.
Sports events - Golf competitions/billiards competitions/company sports events: dynamic and challenging
⭐ 𝐅𝐞𝐚𝐭𝐮𝐫𝐞𝐝 𝐩𝐫𝐨𝐣𝐞𝐜𝐭𝐬:
➢ 2024 BAEKHYUN [Lonsdaleite] IN HO CHI MINH
➢ SUPER JUNIOR-L.S.S. THE SHOW : Th3ee Guys in HO CHI MINH
➢FreenBecky 1st Fan Meeting in Vietnam
➢CHILDREN ART EXHIBITION 2024: BEYOND BARRIERS
➢ WOW K-Music Festival 2023
➢ Winner [CROSS] Tour in HCM
➢ Super Show 9 in HCM with Super Junior
➢ HCMC - Gyeongsangbuk-do Culture and Tourism Festival
➢ Korean Vietnam Partnership - Fair with LG
➢ Korean President visits Samsung Electronics R&D Center
➢ Vietnam Food Expo with Lotte Wellfood
"𝐄𝐯𝐞𝐫𝐲 𝐞𝐯𝐞𝐧𝐭 𝐢𝐬 𝐚 𝐬𝐭𝐨𝐫𝐲, 𝐚 𝐬𝐩𝐞𝐜𝐢𝐚𝐥 𝐣𝐨𝐮𝐫𝐧𝐞𝐲. 𝐖𝐞 𝐚𝐥𝐰𝐚𝐲𝐬 𝐛𝐞𝐥𝐢𝐞𝐯𝐞 𝐭𝐡𝐚𝐭 𝐬𝐡𝐨𝐫𝐭𝐥𝐲 𝐲𝐨𝐮 𝐰𝐢𝐥𝐥 𝐛𝐞 𝐚 𝐩𝐚𝐫𝐭 𝐨𝐟 𝐨𝐮𝐫 𝐬𝐭𝐨𝐫𝐢𝐞𝐬."
Personal Brand Statement:
As an Army veteran dedicated to lifelong learning, I bring a disciplined, strategic mindset to my pursuits. I am constantly expanding my knowledge to innovate and lead effectively. My journey is driven by a commitment to excellence, and to make a meaningful impact in the world.
Company Valuation webinar series - Tuesday, 4 June 2024FelixPerez547899
This session provided an update as to the latest valuation data in the UK and then delved into a discussion on the upcoming election and the impacts on valuation. We finished, as always with a Q&A
VAT Registration Outlined In UAE: Benefits and Requirementsuae taxgpt
Vat Registration is a legal obligation for businesses meeting the threshold requirement, helping companies avoid fines and ramifications. Contact now!
https://viralsocialtrends.com/vat-registration-outlined-in-uae/
RMD24 | Debunking the non-endemic revenue myth Marvin Vacquier Droop | First ...BBPMedia1
Marvin neemt je in deze presentatie mee in de voordelen van non-endemic advertising op retail media netwerken. Hij brengt ook de uitdagingen in beeld die de markt op dit moment heeft op het gebied van retail media voor niet-leveranciers.
Retail media wordt gezien als het nieuwe advertising-medium en ook mediabureaus richten massaal retail media-afdelingen op. Merken die niet in de betreffende winkel liggen staan ook nog niet in de rij om op de retail media netwerken te adverteren. Marvin belicht de uitdagingen die er zijn om echt aansluiting te vinden op die markt van non-endemic advertising.
RMD24 | Debunking the non-endemic revenue myth Marvin Vacquier Droop | First ...
Wps Prezentare
1. Elemente de diagnostic şi
urmarire clinica în PWS,
Conf.Dr. Otilia Mărginean,
UMF Timisoara
2. PWS - History
1680 - Painting by Juan Carreno
de Miranda
1887 –Langdon –Down describe
the firt pacient with PWS
1956 –Prader et col. describe the
specific phenotype
1981-Ledbetter et col.
Identified the
microdeletion within cr 15
3. Prader-Willi syndrome is
the consequence due to
a loss of function of
imprinted genes in the
chromosome region
15q11-q13.
In the case of PWS, the absent
contribution to this region is always
paternal, leading to a loss of expression
of paternally transcribed genes.
5. Prader-Willi Syndrome is a congenital condition
(present at birth)
Children born with Prader-Willi Syndrome may
have early feeding difficulties that lead to tube
feeding, and often have a degree of behavioral
and/or mental problems (some severe).
The person with Prader-Willi Syndrome has an
insatiable appetite. This can lead to obesity,
stealing, This continuous appetite is caused by a
defect in the hypothalamus; speech impairments,
stunted sexual development, poor muscle tone,
dental problems, diabetes type II.
The life expectancy of a person with Prader-Willi
Syndrome may be normal if weight is controlled.
6. Newborns with PWS
exhibit nonspecific findings including
Hypotonia, At birth, babies are usually floppy
Small ;They may have small hands and feet,
Poor sucking reflex,
Giminished or absent cry, and somnolence.
Boys may have undescended testicles.
Early developmental milestones are delayed.
7. Delay of normal development, such as language skills and
walking
Behavior problems, such as temper tantrums and stubbornness
After about six months to a year, especially as the child
becomes mobile, they develop an interest in food that may
become an insatiable obsession.
Weight gain can be rapid, leading to severe obesity that results
in diabetes, strain on the heart, lungs and skeleton, and even
early death.
Some people have also noticed that children with PWS may be
unusually blonde and blue-eyed.
Poor muscle tone
Poor reflexes
Small to normal size
Inability to suck well
A weak, squeaky cry
Lethargy
As a toddler, new symptoms may include:
8. CHild
Insatiable hunger, resulting in compulsive eating / obesity
Continuing behavior problems, such as anger and inflexibility
Learning disabilities
Low to normal IQ
Incomplete sexual development,
High threshold for pain
Insensitivity to temperature extremes
The diagnosis is usually evident based on sympt.
and a characteristic physical appearance:
Almond-shaped eyes
Strabismus
Narrow forehead
Down-turned mouth / Thin upper lip
Lighter coloring compared with other family members
Developmental Issues
Delay in motor skill development and Cognitive delay or limits
Delays in physical growth and Incomplete sexual develop. in adol.
9. Adolescent
Short stature.
Obesity
Hypogonadism presents as:
cryptorchidism, small testes, and decreased scrotal
rugae in males and
small labia minora and clitoris in females. Puberty
typically is delayed or incomplete.
Learning disabilities always are present;
however, affected persons may have low-
normal intelligence to moderate mental
retardation.
10. Diagnostic Criteria for Prader-Willi sy.
Characteristic facial features
(may include almond-
shaped eyes, down-turned
mouth, narrow bifrontal
diameter, strabismus, thin
upper lip;
Developmental delay
Feeding problems/failure to
thrive during infancy
Hypogonadism (may include
cryptorchidism, hypoplastic
scrotum, and small testes in
males; hypoplastic labia
minora and clitoris in
females; and pubertal
deficiency)
Infantile central hypotonia
Rapid weight gain between
1 and 6 years of age
Decreased fetal
movement and infantile
lethargy
Esotropia, myopia
Hypopigmentation
Narrow hands with
straight ulnar border
Short stature (compared
with family members)
Skin picking
Sleep disturbance/sleep
apnea
Small hands and feet
Speech articulation
defects
Thick, viscous saliva
Typical behavioral
problems
MAJOR CRITERIA MINOR CRITERIA
11. Score
• 1 point for each major criterion and
• 0.5 point for each minor criterion.
A diagnosis of Prader-Willi syndrome should be
suspected in
• children < than three years with a score of at least 5;
• in children >three years and older with a score of at
least 8, (4 points from major criteria).
Supportive criteria (no points) include high pain threshold,
decreased vomiting, temperature control problems,
scoliosis, kyphosis, early adrenarche, osteoporosis,
unusual skill with jigsaw puzzles, and normal
neuromuscular studies.
The clincal picture must by support by genetic
analises
12. TREATMENT
The first research on using growth hormone (GH)
with Prader-Willi syndrome (PWS) began in
198I. Two key pioneers in this field were Dr.
Moris Angulo and Dr. Phillip Lee
In June 2000 growth hormone was the first (and
to date the only) drug approved by the U.S. Food
& Drug Administration (FDA) for the treatment of
Prader-Willi syndrome.
13. The conditions are associated with Prader-Willi
syndrome which require life-long management:
Scoliosis
Strabismus
Osteoporosis
Dental problems
Obesity-related
problems, such as:
Type 2 diabetes
High blood pressure
Metabolic syndrom
Heart failure
Skin problems
Skin picking
Short stature
COMPLEX TEAM
14. GHITA AURA
height 140cm (the
height according to
age 150), SDS- 1.5,
weight 88Kg (the
weight according to
the height 54Kg ),
G. AURA
CASE 1 GA
?
15. Scor 8.5
Majore criterias: 5
•caracteristic facial features -1
•hipogonadism-1
•mental retard. -1
•infantile feeding problems -1
•rapid weight gain between 1-6 years - 1
Minor criterias
1. Short stature
2. Skin picking
3. Sleep disturbance/sleep
apnea
4. Small hands and feet
5. Speech articulation defects
6. Thick, viscous saliva
7. Typical behavioral problems
20. SCOR 7
Major criterias
caracteristic facial features -1
retard mental-1
infantile feeding problems -1
rapid weight gain between 1-6
years – 1
Infantile central hypotonia
Minor criterias:
Rapid weight gain between 1
and 3 years of age
Sleep disturbance/sleep apnea
Small hands and feet
Speech articulation defects
21.
22. Conclusions
PWS is underdiagnose
There is necessary A good information to
general population
For treatment PWS need a complex team
In the present is a hope for PWS, children
by use GH