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Most Respected Viewers ! its all about the Types/ Risk / Factors / Symptoms / Screening Treatment & Prevention What Is Down Syndrome? Down syndrome (sometimes spelled “Down’s syndrome”) is a genetic abnormality. It is the most common single cause of birth defects in the United States This syndrome occurs because of an extra copy of chromosome 21. Your chromosomes contain your genetic material, & any problems with your chromosomes can cause serious physical and mental health problems Down syndrome causes lifelong developmental delays that can range from moderate to severe. It cannot be cured, but there are options. Down syndrome can be managed with educational interventions, specialized parenting techniques, and community engagement. These all can encourage a person with Down syndrome to develop life skills and social bonds, so that they can live a long (many Down syndrome patients live past the age of 50) and fulfilling life. Causes What Causes Down Syndrome? Down syndrome is e genetic disorder. TO understand how it happens, we first need to understand some basic genetics. In all cases of reproduction, both parents pass their genes on to their children. These genes are carried on chromosomes. When the baby’s cells develop, each cell is supposed to receive 23 pairs of chromosomes. Half of the chromosomes are from the mother and half from the father. In children with Down syndrome, one of the chromosomes does not separate properly. The baby ends up with three copies of chromosome 21 instead of two. This extra chromosome causes problems as the brain and physical features develop. Types Types of Down Syndrome There are three types of Down syndrome: Trisomy 21 Trisomy 21 means there is an extra copy of chromosome 21 in every cell. This is the most common form of Down syndrome. Mosaicism Mosaicism means there is an extra chromosome in some but not all of a child’s cells. Individuals with mosaic Down syndrome tend to have fewer symptoms. Translocation In this condition, children have only an extra part of chromosome 21. There are 46 total chromosomes. However, one of them has an extra piece of chromosome 21 attached. Risk Factors Will My Child Be at Risk for Down Syndrome? Certain parents have a greater risk of giving birth to a child with Down syndrome: women age 35 and older males 50 and older people with a family history of Down’s syndrome people who carry the genetic translocation Symptoms What Are the Symptoms of Down Syndrome? During pregnancy, there are no signs that a child will have Down syndrome. At birth, babies with Down syndrome usually have certain characteristic signs, including: flat facial features small head and ears short neck bulging tongue eyes that slant upward oddly shaped ears poor muscle tone A Down syndrome infant can be born a normal size. However development is twice as slow as for an unaffected child. There is usually some degree of mental retardation, but it is often mild to moderate. Mental and social development delays may mean that the child will have: impulsive behavior poor judgment short attention span slow learning capabilities Medical complications often accompany Down syndrome. These are caused by the extra chromosome. These may include: congenital heart defects hearing loss poor vision cataracts (clouded eyes) hip problems, such as dislocations leukemia chronic constipation sleep apnea (interrupted breathing during sleep) dementia (thought and memory problems) hypothyroidism (low thyroid function) obesity late tooth growth, causing problems with chewing Today, despite the medical and developmental delays, a child born with Down syndrome can live past the age of 50 (Mayo Clinic). Screening Screening for Down Syndrome During Pregnancy Screening is offered as a routine part of prenatal care in the United States. However, it is not required. First Trimester An ultrasound evaluation and blood tests can look for Down syndrome in your fetus. These tests are done between the 10th and 14th week of pregnancy. An ultrasound looks at the back of the baby’s neck, called the nuchal translucency. If there are problems with the baby’s development, more fluid collects in this area. Blood tests looks at the level of pregnancy-associated plasma protein-A (PAPP-A) and human chorionic gonadotropin (HCG). High levels of these proteins suggest a developmental problem. These tests have a higher false-positive rate than tests done at later pregnancy stages. If results are not normal, your doctor may follow up with an amniocentesis. In this test, an amniotic fluid sample is used to confirm the results. Second Trimester An ultrasound and quadruple marker screen (QMS) test can help identify Down syndrome and other neural tube defects. This test is done between 15 and 20 weeks. These tests measures four pregnancy-related factors: human chorionic gonadotropin (HCG) unconjugated estriol alpha-fetoprotein (AFP) inhibin-A If any of these tests are not normal, you will be considered at high risk for birth defects. Additional Prenatal Tests Your doctor may order additional tests to detect Down syndrome in your baby: amniocentesis: Your doctor takes a sample of amniotic fluid to examine the number of chromosomes the baby has. The test is usually done at 15 weeks. It carries a one in 200 miscarriage risk. chorionic villus sampling (CVS): Your doctor will take cells from your placenta to analyze fetal chromosomes. This test is done during the ninth and 14th week of pregnancy. It carries a miscarriage risk of one in 100. percutaneous umbilical blood sampling (PUBS): Your doctor will take blood from the umbilical cord and examine it for chromosomal defects. It is done after the 18th week of pregnancy. It carries an even higher rate of miscarriage, so it is performed only if all other tests are uncertain. Some women choose not to undergo these tests, because of the risk of miscarriage. They would rather risk having a child with Down syndrome than losing the pregnancy. Tests at Birth At birth, your doctor will: perform a physical examination of your baby order a blood test called a karyotype to confirm Down syndrome Treatment Treating Down Syndrome There is no cure for Down syndrome. However, parents can provide early intervention and opportunities to help their child with Down syndrome succeed. Early intervention programs promote a child’s learning. They offer the best chance for success. In these programs, special education teachers and therapists will help your child learn: sensory skills social skills self-help motor skills language and cognitive abilities Children with Down syndrome often meet age-related milestones. However, this may take up to two times longer than for other children. A team of physicians and specialists can help provide medical care and manage the medical complications. Because obesity can be particularly dangerous to the health of children with Down syndrome, it is important to encourage physical activity and avoid high-calorie foods. However, before beginning exercise or sports, the child’s hip, neck, and spine should be examined. It is important to teach children with Down syndrome about being independent and staying safe. Parents should establish a support network in the family and community. Learn as much as possible about your child’s condition. This can help you understand what it means as your child grows and develops. Many people with Down syndrome lead successful lives in their community. They often go to school, hold jobs, and become independent. Prevention Preventing Down Syndrome There is no way to prevent Down syndrome. You may want to speak with a genetic counselor: before having a child, to see if you are at risk if you already have a child with Down syndrome and are considering getting pregnant again Regards from' Oxfordcadets Team J Block Firdos Market Gulberg iii Lahore skype id oxfordcadets g mail oxfordcadets at g mail dot com whatsapp +92 333 4/6/3/3/9/9/0 Get Updates on + 92 342 37 2 5 129

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NEBOSH Awards level qualifications – In this level of NEBOSH Awards certification you will get general understanding of health and safety principles and practice. You also get the complete introduction to other NEBOSH qualifications. There are main NEBOSH awards level certifications that are designed to verify the skills of professionals. Get awareness and a detail introduction to other qualifications while participating in NEBOSH Awards level certification. 1. Health and Safety at Work Qualification 2. Environmental Awareness at Work Qualification 3. Health, Safety and Environment in the process industries qualification 4. NEBOSH HSE introduction to incident investigation NEBOSH Certificates Level Qualifications – The NEBOSH certificates level certifications provide the excellent and solid foundation in health and safety for supervisor, managers and people who have plan to start career in the field of health and safety. 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Purpose  Your commitment to career development  HSE as full time career or just wish to add flavor to your previous degree  Shaping your safety skills What is IOSH? IOSH is Institution of Occupational Safety & Health located in England. It’s world's largest professional & research based membership body of safety professionals who research & give recommendations to statutory bodies of UK on matters pertaining to health & safety at workplace. This innovative 30 hours Level 1 program will give you better insight on how to manage your job safely using scientific techniques of Risk Assessment & control. What is NEBOSH? NEBOSH denotes for National Examination Board of Occupational Safety & Health which is located in England who offers Certificates & Diploma in Health & safety to both British & overseas aspirants. NEBOSH IGC (International General Certification) is Level 3 course primarily for those who wish to take HSE as full time career irrespective of their degree background. If you wish to see yourself working on positions like HSE Engineer, HSE officer etc., then NEBOSH IGC is an ideal choice. Keep in mind that this course requires significant amount of Time & efforts compared to IOSH Managing Safely. What is OSHA? OSHA is neither course nor certification. OSHA is regulatory & compliance body of health & safety in America , stands for Occupational Safety & Health Administration which offer 10 hours & 30 hours awareness classes only. After this training, OSHA issues wallet cards (similar to credit card) to all participatory workers. Hope this information will help not only to you but also other aspirants. Wishing you a bright & safe career journey ahead. We are offering both IOSH & NEBOSH programs in Pakistan with lifelong career mentoring & career placement services. For more information: Call Now: 03465199598 03465199598 Address: Office No 215 2nd Floor Malik Abad Shopping Plaza 6th Road Rawalpindi Pakistan www.iitpakistan.com Inspire Institute of Technologies Pakistan) is a Professional organization established in 2009, affiliated with SDC, TTB (Trade Testing Board), TTPC Government of Pakistan.IITP also have affiliations from International Bodies like ISO, IOSH, NEBOSH, Icertosh, British Safety Council etc. We are providing education regarding almost every field of Technical Courses, like HSE Safety Courses, IT Computer Courses, ENGINEERING Courses, MANAGEMENT Coursesetc. The vision of IITP is: establishing unique identity by development of high quality human and knowledge resources in diverse areas of technologies to meet local, national, and global economic and social need and human society at large in self-sustained manner. "The mission of IITP is to train and transform young men and women into responsible thinking engineers, technologists and scientists, to motivate them to attain professional excellence and to inspire them to proactively engage themselves for the betterment of the society. Ābbāsiwāla Ābidwāli Dahar Ābu Ābādi Nūr Muhammad Ābādi Shahāmad Khān Ābādiān Āda Āde ke Sagle Ādewāla Ādhi Bāgh Ādhi Kot Ādil Ādowāl Ādowāla Ādu Āgarwāla Dahar Āhi Āhiran Āima Ākīa Ākūke Ālam Khān Ālam Khānwāla Ālam Khānwāla Ālam Sherwāla Ālam Sherwāla Ālam Sherwāla Ālam Shāh Khagga Ālamgīr Ālampura Ālamsherwāla Ālamwāla Ālamwāla Ālimwāla Ālu Mahār Ālu Shāhdeo Ālu ke Sathiāne Āma Shāba ki Bān Ānandsar Āndrānwāla Āqil Āqil Shāh Kalān Āqil Shāh Khurd Āqilpur Āqilpur Āqilwāla Āra Āra Tula Ārah Ārain Āraīānwāli Ārbi Ārepur Ārewāhān Ārewāla Ārewāla Ārewāla Ārewāla Āri Hijrewāli Āri Kaherīwāli Āri Lāl Khān Āri Mochīwāla Ārib ki Dhok Ārifwāla Ārifwāla Ārifwāla Āriwāla Āriwāla Ārya Ārāzi Bahār Shāh Ārāzi Hamīd Ārāzi Lāl Singh Ārāzi Shankar Dās Ārāzi Yaqūb Shāh Ārāīn Ārīwāla Ārīwāla Āsal Sulaimān Āshiq Muhammad Āshiqpur Āshiqābād Āshyāna Mills Āsif Block Āsni Āsām Ātto Āssal Āwān Āwān Āwān Āwānwāla Āwānwāla Āwānwāla Āwānwāla Āwānwāla Janūbi Āwānwāla Shumāli Āwānānwāla Āwāsura Āzam Hans Āzam Hirāj Āzam Khānwāla 61 62 63 64 65 66 67 ABBOTTABAD GPO 22010 Khyber Pakhtunkhwa 2 ATTOCK GPO 43600 Punjab 3 BAGH GPO 12500 Azad Kashmir 4 BAHAWAL NAGAR GPO 62300 Punjab 5 BAHAWALPUR GPO 63100 Punjab 6 BANNU GPO 28100 Khyber Pakhtunkhwa 7 BATKHELA GPO 23020 Khyber Pakhtunkhwa 8 BHAKKAR GPO 30000 Punjab 9 BHIMBER GPO 10040 Azad Kashmir 10 CHAKWAL GPO 48800 Punjab 11 CHARSADDA GPO 24420 Khyber Pakhtunkhwa 12 CHITRAL GPO 17200 Khyber Pakhtunkhwa 13 DADU GPO 76200 Sindh 14 DERA GHAZI KHAN GPO 32200 Punjab 15 DERA ISMAIL KHAN GPO 29050 Khyber Pakhtunkhwa 16 FAISALABAD G.P.O 38000 Punjab 17 GILGIT GPO 15100 Northern Area 18 GUJAR KHAN GPO 47850 Punjab 19 GUJRANWALA GPO 52250 Punjab 20 GUJRAT GPO 50700 Punjab 21 HARIPUR GPO 22620 Khyber Pakhtunkhwa 22 HYDERABAD GPO 71000 Sindh 23 ISLAMABAD GPO 44000 Federal Capital 24 JACOBABAD GPO 79000 Sindh 25 JHANG GPO 35200 Punjab 26 JHELUM GPO 49600 Punjab 27 KARACHI ALHYDRI GPO 74700 Sindh 28 KARACHI CITY GPO 74000 Sindh 29 KARACHI GPO 74200 Sindh 30 KARACHI SADDAR GPO 74400 Sindh 31 KARAK GPO 27200 Khyber Pakhtunkhwa 32 KASUR G.P.O 55050 Punjab 33 KHAIR PUR GPO 66020 Sindh 34 KHANEWAL GPO 58150 Punjab 35 KHUSHAB GPO 41000 Punjab 36 KHUZDAR GPO 89100 Balochistan 37 KOHAT GPO 26000 Khyber Pakhtunkhwa 38 KORANGI GPO 74900 Sindh 39 KOTLI GPO (AK) 11100 Azad Kashmir 40 LAHORE CANTT. 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Basic Introduction to Computers - This course is designed for people who have never touched a computer, although computer users also learn many new things. This course (or equivalent practice) is a prerequisite for other computer courses listed below. We will look at: •Physical parts of the computer (CPU, keyboard, monitor, mouse, etc.) and how they work •Navigation on the Windows desktop • File and folder management, libraries, Windows Explorer •Using programs • Connection to networks and the Internet Computer literacy is essential in today's world for both personal and professional purposes. This four-level comprehensive course is designed for those with little computer knowledge and experience. The PD Training Computer Basic course provides a deep understanding of the fundamentals computer functions, including the use of basic applications and operating systems. This basic computer skills course will provide you with an understanding of today's most popular technologies used at home and in the workplace. In this hands-on course, you will become computer literate as you learn to access, create, store and manage documents, spreadsheets and emails and use the internet effectively. We demystify terminology and convey best practices for productive and secure use of hardware and software. This course is divided into 12 different lessons, including: Computer Parts, What to Look for When Buying, Setting Up a Secure Workspace, Virus Protection, Getting Your Computer Up and Running, Surfing the "Net," Sending Email, Using Your media methods, advanced email, images, word processing basics and search everything. "Computer Basics" covers both PC and Mac, helping you have the right information when you're ready to start exploring the Internet or just creating a text document. With summaries, true/false and multiple-choice questions at the end of each section, you'll be able to review the lessons in detail while also seeing where you have more work to do. Learning the basics of working with a computer is essential these days in this technological world because some jobs cannot be done without a computer. We offer basic computer courses for beginners and provide the best support for non-technical people. It will help you to be expert in using computers. If you don't keep pace with technology, you're missing out on your career growth. There are many experts who have proved that it is an excellent course to acquire a broad knowledge of computers. This course introduces computer concepts, including basic computer functions and operations. Topics include identifying hardware components, basic computer operations, security issues, and using software applications. Upon graduation, students should be able to demonstrate an understanding of the role and function of computers and use a computer to solve problems. The course is designed to focus on delivering an entry level program for individuals. After completing the course, the individual is able to use a computer for basic purposes when preparing your personal/business letters. This allows the common individual to also be a part of the list of computer users by being digitally literate. This helps small businesses community, maintain your small account using computers and enjoy v the world of information technology. http://www.icollegete.com/ International College of Technical Education. Main office: Office No. 27, Second Floor, Maryam Shadi Hall Plaza (Airies Plaza), Shamsabad, Murree Road, Rawalpindi, Pakistan 46,000. Email: info@icollegete.com Contact: 051-6122937, 0311-5193625, 0092-335-4176949 http://www.icollegete.com/course/basic-computer-ms-office-course-in-rawalpindi-pakistan/

This course teaches you the art of graphic design from the ground up and suits novices and those looking to polish their creative skills. We explore the history of graphic design and examine its theory, practices and principles. We then show you how text and images can be effectively used to create an impact and convey a message to a specific audience. These tools can make you a successful graphic designer so sign up to gain a valuable new skill. The course is designed for anyone who wants to learn web graphic designs, and possibly work as a freelancer or employee in the field of web design. We cover everything, so even if you’ve never seen adobe Photoshop in your life, you’ll be able to quickly jump in. Wondering how to learn graphic design on your own? Fortunately, it isn't required to go to design school in order to be a graphic designer. A good foundation in graphic design history, theory, and practical application will help you hit the ground running. There are plenty of graphic design tutorials and resources you can check out, and we've put together a graphic design course outline for you here. If you would like to learn and study graphic design from the ground up, then this article lists some great resources that will get you started. Also, even if you do go to design school, at least three-fifths of your education will be through self-directed study anyway. This course offers a broad, cross-disciplinary learning experience for students looking to pursue careers in Advertising Design, Graphic Designand Illustration, to name a few — all disciplines that focus on effective and arresting visual communication. The course is designed to span a wide range of visual communication in a digital platform. In this course, students are introduced to key aspects of the design process, from research/strategy, creative brief development, and campaign development to teamwork and presentation and content creation so that they can enter the design market as strong candidates for beginner to intermediate level design jobs. Graphic design is a form of visual communication that is a diverse and constantly reformulating practice that uses a wide range of technical processes to engage with audiences. The graphic design course introduces you to a range of working methods, practices and techniques. Graphic Design is all around us! Words and pictures—the building blocks of graphic design—are the elements that carry the majority of the content in both the digital world and the printed world. As graphic design becomes more visible and prevalent in our lives, graphic design as a practice becomes more important in our culture. Through visual examples, this course will teach you the fundamental principles of graphic design: imagemaking, typography, composition, working with color and shape... foundational skills that are common in all areas of graphic design practice. I don't just want you to watch a video of someone talking about design, I want you to MAKE design! If you want to be a designer you have to be a maker and a communicator, so this course will offer you lots of opportunities to get your hands dirty with exercises and with more practical projects. http://www.icollegete.com/ International College of Technical Education. Main office: Office No. 27, Second Floor, Maryam Shadi Hall Plaza (Airies Plaza), Shamsabad, Murree Road, Rawalpindi, Pakistan 46,000. Email: info@icollegete.com Contact: 051-6122937, 0311-5193625, 0092-335-4176949 http://www.icollegete.com/course/graphics-designing-course-in-islamabad-rawalpindi-pakistan/