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offering a unique opportunity for both males/females online ads posting jobs. ad posting job is basically a home based online easy job in which you’ve to do posting of ads on different classified websites, blogs, & forums. ad posting, program is one of the most easiest & instant income programs... if you want to earn from online jobs than you better for add posting jobs.these jobs are very simple.you have to only add posting and earn. I have got confirm projects with confirm payments

ICTE International College of Technical Education. Head Office : Office # 27, Second Floor, Maryam Shadi Hall Plaza (Airies Plaza), Shamsabad, Murree Road, Rawalpindi, Pakistan 46000. Email : info@icollegete.com Contact : 051-6122937, 0311-5193625, 0092-335-4176949 There are lots of courses offered in the professional market to gear up Information Technology on the initial stage, where one of the renowned course CIT Course in Karachi or Certification in Information Technology training in Karachi and Pakistan. In this context, people are looking program or course which covers basics of Information Technology and also help them to become a professional for professional market and to the get job from assistant level. This CIT Course in Pakistan is very renowned and required program in the different vicinity of Pakistan Have you passed 10th standard? Are you interested in pursuing a good IT (Information Technology) certification course? If yes, this article will be of help to you! Here, we will have an in-depth analysis of Certificate in Information Technology (CIT) course.How’s this article of help to me, you may ask. Here, you will find everything you need to know about Certificate in IT course. This article covers topics such as – course details, duration, eligibility criteria, admission process, syllabus, careers and salary details.As the name suggests, this course is related to IT (Information Technology). IT deals with the storage, transfer, retrieval, security and manipulation of data/information. For performing these tasks, we use IT systems.CIT is an entry level IT course. It deals with the basics of Information Technology. The main aim of this program is to train students and familiarize them with the basics of IT.colleges that offer certificate in information technology Pakistan Punjab university institute of computer sciences free online certification communication,certificate information technology notes iv jobs ryerson management how to become an consultant with pictures,guide information technology certificate download course outline business jobs in risk management,masters degree in information technology executive post graduate certificate management online risk,higher certificate in information technology jobs web based and multimedia applications 3 2 online,certificate information technology course outline in Pakistan online Punjab masters of,uni enrol college certificate information technology Canada courses in Pakistan health online,graduate certificate information technology management institute of computer sciences free online certification iv jobs in Pakistan,certificate information technology notes state in 2 online course ignou,certificate iv information technology online networking certification in 6 month labs.Information Technology (IT) career prospects continue to point to an increasing demand for qualified people in this field. Many of our potential students are professionals and people in the workforce who are seeking ways to better adapt to a changing work environment where IT is now prevalent; others are students who recognize the added value that IT brings to their professional interests and fields of expertise. The certificate has been designed with these people in mind.The Certificate in Information Technology (CIT) is an introductory program into the information systems discipline. It covers fundamental concepts and operation into the technology and operation of modern information systems. It focuses on techniques, tools and methods used today in the development and use of computer-based applications. The program will be offered to non-College of Management or non-Degree seeking students. The Program covers the Introduction of Information Technology, where basics and computer hardware and Networking program are being covered. Further, the program also covered the complete Office Automation part, where MS Office including MS Word, MS Excel, and MS PowerPoint with Internet shall also be covered. Further, the Program also covers the Graphical orientation with Adobe Photoshop and also gives the sound idea about Web designing through Adobe Dreamweaver. The last but not least the program has also covered the Basic of C# with Concepts of OOPS including .NET Framework shall be covered. The CIT - Certification in Information Technology program majorly covers the following: Introduction to Computers with Computer Hardware Office Automation (MS Word, MS Excel, MS Excel) Internet & Social Media Basic Graphics with Adobe Photoshop Web Designing through Dreamweaver Computer Hardware Basics of Digital Marketing Basic of Internet of Things (IOT) Basics of Blockchain Basics of Industrial Revolution 4.0 CIT Course Contents: Computer Hardware Basics of programming Basics of Software Basics of Networking Internet Technology Basics of Database management Multimedia Basics of Information System https://classads.pk/cit-certificate-in-information-technology-course-in-abbottabad-haripur/ https://knotship.com/verify/post/phone https://sellfree.pk/ad/cit-certificate-in-information-technology-course-in-abbottabad-battagaram/ https://baichday.com.pk/cit-certificate-in-information-technology-course-in-abbottabad-bannu/ http://www.pkbuysell.com/+CIT+certificate+in+information+technology+course+in+Abbottabad

ICTE International College of Technical Education Pvt. Ltd Head Office : Office # 27, Second Floor, Maryam Shadi Hall Plaza (Airies Plaza), Shamsabad, Murree Road, Rawalpindi, Pakistan 46000. Email : info@icollegete.com Contact : 051-6122937, 0311-5193625, 0092-335-4176949 Freelancing is one of the fastest growing career paths available. With the rise of the gig economy and the ability to work from anywhere, freelancing has become an increasingly attractive option for those looking to make a living. Whether you want to work part-time or full-time, there are endless opportunities available. However, to make sure you get the most out of your freelance career, it’s important to understand what it entails and what to expect. Through this comprehensive guide to freelancing, you’ll learn the ins and outs of this career path and understand what to look for in a course description. You’ll also gain insight into the most successful freelancing strategies and learn how to make an informed decision about what type of freelancing is right for you. With the help of this guide, you’ll have the knowledge and confidence you need to make your freelancing dreams a reality.Freelancing is becoming an increasingly attractive career option for many people. It provides freedom to work from anywhere, the ability to pursue a passion or interest, and the potential for greater financial rewards. As such, a comprehensive guide to freelancing is essential to ensure you have the knowledge and confidence to successfully transition from a traditional job to a freelance career. A course description should provide an overview of the topics covered, the expected outcomes, and any prerequisites that may be necessary. With this guide, you will have a better understanding of what to expect when taking a course on freelancing and be more prepared to start your own freelance career. Course Outline: Introduction to Freelancing How to win Freelance jobs Setting up your profile on Fiverr.com Start selling your Gigs on Fiverr.com Setting up your profile on Freelancer.com Start bidding and winning jobs on Freelancer.com Setting up your profile on Upwork.com Start bidding and winning jobs Upwork.com Setting up your profiles on PeoplePerHour.com Starting selling your Hourlies and winning Jobs on PeoplePerHour.com How to keep your clients happy and be on top of your game How to get paid and get the money in your bank account

ADDRESS 051-8736681, 0311-5193625, 0092-335-4176949, Office # 27, Second Floor, Maryam Shadi Hall Plaza (Airies Plaza), Shamsabad, Murree Road, Rawalpindi, Pakistan 46000CIT (Certificate in Information Technology) Course In Rawalpindi, Pakistan, CIT (Certificate in Information Technology) Course In Rawalpindi, Pakistan For Registration: 0092-311-5193625 / 0092-335-4176949 Professional CIT (Certificate in Information Technology) Course In Rawalpindi, Pakistan Have you passed 10th standard? Are you interested in pursuing a good IT (Information Technology) certification course? If yes, this article will be of help to you! Here, we will have an in-depth analysis of Certificate in Information Technology (CIT) course.How’s this article of help to me, you may ask. Here, you will find everything you need to know about Certificate in IT course. This article covers topics such as – course details, duration, eligibility criteria, admission process, syllabus, careers and salary details.As the name suggests, this course is related to IT (Information Technology). IT deals with the storage, transfer, retrieval, security and manipulation of data/information. For performing these tasks, we use IT systems.CIT is an entry level IT course. It deals with the basics of Information Technology. The main aim of this program is to train students and familiarize them with the basics of IT.colleges that offer certificate in information technology Pakistan Punjab university institute of computer sciences free online certification communication,certificate information technology notes iv jobs ryerson management how to become an consultant with pictures,guide information technology certificate download course outline business jobs in risk management,masters degree in information technology executive post graduate certificate management online risk,higher certificate in information technology jobs web based and multimedia applications 3 2 online,certificate information technology course outline in Pakistan online Punjab masters of,uni enrol college certificate information technology Canada courses in Pakistan health online,graduate certificate information technology management institute of computer sciences free online certification iv jobs in Pakistan,certificate information technology notes state in 2 online course ignou,certificate iv information technology online networking certification in 6 month labs.Information Technology (IT) career prospects continue to point to an increasing demand for qualified people in this field. Many of our potential students are professionals and people in the workforce who are seeking ways to better adapt to a changing work environment where IT is now prevalent; others are students who recognize the added value that IT brings to their professional interests and fields of expertise. The certificate has been designed with these people in mind.The Certificate in Information Technology (CIT) is an introductory program into the information systems discipline. It covers fundamental concepts and operation into the technology and operation of modern information systems. It focuses on techniques, tools and methods used today in the development and use of computer-based applications. The program will be offered to non-College of Management or non-Degree seeking students. 051-8736681, 0311-5193625, 0092-335-4176949, Office # 27, Second Floor, Maryam Shadi Hall Plaza (Aries Plaza), Shamsabad, Murree Road, Rawalpindi, Pakistan 46000 The Program covers the Introduction of Information Technology, where basics and computer hardware and Networking program are being covered. Further, the program also covered the complete Office Automation part, where MS Office including MS Word, MS Excel, and MS PowerPoint with Internet shall also be covered. Further, the Program also covers the Graphical orientation with Adobe Photoshop and also gives the sound idea about Web designing through Adobe Dreamweaver. The last but not least the program has also covered the Basic of C# with Concepts of OOPS including .NET Framework shall be covered. HomeCertificate CoursesCertificate in Information Technology. CIT is an entry level IT course. It deals with the basics of Information Technology. The main aim of this program is to train students and familiarize them with the basics of IT!The Certificate in Information Technology is designed to act as a bridge to higher-level computing qualifications and provides you with a solid foundation to enter a career in computing. Improve your computer literacy and maths, as well as your communication, problem-solving and study skills. You also gain a solid background in current software applications. Our Certificate in Information Technology provides individuals with the knowledge and skills necessary to assume entry-level positions in the field of information technology. Coursework covers the strategic value of IT to businesses and exposes students to the web application development process (topics include IT architecture, systems analysis and design, web design, database systems, and web application development) The course deals with various aspects of IT such as – Computer Hardware Basics of programming Basics of Software Basics of Networking Internet Technology Basics of Database management Multimedia Basics of Information System CIT (Certificate in information Technology) Course Content: 1:MS Office. (MS Word, MS Excel, MS Powerpoint, MS Access, MS Outlook, Typing). 2:Web Designing. (HTML Coding - Learn how to create Web pages by coding in HMTL, CSS - Learn how to style and format Web pages using Cascading Style Sheet, Adobe Dreamweaver - Create Web pages and Web sites using this Web development program from Adobe, Build a Web Site - Learn how to get a domain name and host your Web site with a hosting company.) 3:Graphic Designing. (Principles of Graphic Design, Theory of Design, Colour and Materials, Design web pages, Graphic tablets, Graphic design tools, Problem solving, and the design Process, Interactive computer marked assignment, How to create a portfolio, Design booklets and Reports, Final interactive computer marked assignment.) 4:Computer Hardware. (Elements of Computer System, Hardware & Software, Block diagram of a computer, CPU, Memory, Input/ Out devices, Mouse and Keyboard, Using a mouse (single and double click and their functions), Printers, Scanners, Multi-functional Printer, UPS, Generator, CD, DVD, USB Drives (Flash / Pen Drives), Identification of different types of cables, trouble shooting, Computer Related – No power, Does not start windows, Windows hanging, Printer related – Printer not printing, Printer get stuck, Paper gets stuck, Blurred printing, Poor quality of printing, Network related – Network not working, one computer not appearing in the network, Power related – UPS not working, Battery not charging.) 5:Networking. 6:Internet. (Web browsers, email and Internet, Introduction to Internet, Searching the web, Emailing). http://www.icollegete.com/course/cit-certificate-in-information-technology-course-in-rawalpindi-pakistan/ http://www.icollegete.com/course-grid/ http://www.icollegete.com/course/certificate-in-information-technology-course-in-pakistan/

ICTE International College of Technical Education Pvt. Ltd Head Office : Office # 27, Second Floor, Maryam Shadi Hall Plaza (Airies Plaza), Shamsabad, Murree Road, Rawalpindi, Pakistan 46000. Email : info@icollegete.com Contact : 051-6122937, 0311-5193625, 0092-335-4176949 Freelancing is one of the fastest growing career paths available. With the rise of the gig economy and the ability to work from anywhere, freelancing has become an increasingly attractive option for those looking to make a living. Whether you want to work part-time or full-time, there are endless opportunities available. However, to make sure you get the most out of your freelance career, it’s important to understand what it entails and what to expect. Through this comprehensive guide to freelancing, you’ll learn the ins and outs of this career path and understand what to look for in a course description. You’ll also gain insight into the most successful freelancing strategies and learn how to make an informed decision about what type of freelancing is right for you. With the help of this guide, you’ll have the knowledge and confidence you need to make your freelancing dreams a reality.Freelancing is becoming an increasingly attractive career option for many people. It provides freedom to work from anywhere, the ability to pursue a passion or interest, and the potential for greater financial rewards. As such, a comprehensive guide to freelancing is essential to ensure you have the knowledge and confidence to successfully transition from a traditional job to a freelance career. A course description should provide an overview of the topics covered, the expected outcomes, and any prerequisites that may be necessary. With this guide, you will have a better understanding of what to expect when taking a course on freelancing and be more prepared to start your own freelance career. Course Outline: Introduction to Freelancing How to win Freelance jobs Setting up your profile on Fiverr.com Start selling your Gigs on Fiverr.com Setting up your profile on Freelancer.com Start bidding and winning jobs on Freelancer.com Setting up your profile on Upwork.com Start bidding and winning jobs Upwork.com Setting up your profiles on PeoplePerHour.com Starting selling your Hourlies and winning Jobs on PeoplePerHour.com How to keep your clients happy and be on top of your game How to get paid and get the money in your bank account

ICTE International College of Technical Education. Head Office : Office # 27, Second Floor, Maryam Shadi Hall Plaza (Airies Plaza), Shamsabad, Murree Road, Rawalpindi, Pakistan 46000. Email : info@icollegete.com Contact : 051-6122937, 0311-5193625, 0092-335-4176949 CIT CERTIFICATE IN INFORMATION TECHNOLOGY COURSE IN RAWALPINDI sHAMASABAD There are lots of courses offered in the professional market to gear up Information Technology on the initial stage, where one of the renowned course CIT Course in Karachi or Certification in Information Technology training in Karachi and Pakistan. In this context, people are looking program or course which covers basics of Information Technology and also help them to become a professional for professional market and to the get job from assistant level. This CIT Course in Pakistan is very renowned and required program in the different vicinity of Pakistan Have you passed 10th standard? Are you interested in pursuing a good IT (Information Technology) certification course? If yes, this article will be of help to you! Here, we will have an in-depth analysis of Certificate in Information Technology (CIT) course.How’s this article of help to me, you may ask. Here, you will find everything you need to know about Certificate in IT course. This article covers topics such as – course details, duration, eligibility criteria, admission process, syllabus, careers and salary details.As the name suggests, this course is related to IT (Information Technology). IT deals with the storage, transfer, retrieval, security and manipulation of data/information. For performing these tasks, we use IT systems.CIT is an entry level IT course. It deals with the basics of Information Technology. The main aim of this program is to train students and familiarize them with the basics of IT.colleges that offer certificate in information technology Pakistan Punjab university institute of computer sciences free online certification communication,certificate information technology notes iv jobs ryerson management how to become an consultant with pictures,guide information technology certificate download course outline business jobs in risk management,masters degree in information technology executive post graduate certificate management online risk,higher certificate in information technology jobs web based and multimedia applications 3 2 online,certificate information technology course outline in Pakistan online Punjab masters of,uni enrol college certificate information technology Canada courses in Pakistan health online,graduate certificate information technology management institute of computer sciences free online certification iv jobs in Pakistan,certificate information technology notes state in 2 online course ignou,certificate iv information technology online networking certification in 6 month labs.Information Technology (IT) career prospects continue to point to an increasing demand for qualified people in this field. Many of our potential students are professionals and people in the workforce who are seeking ways to better adapt to a changing work environment where IT is now prevalent; others are students who recognize the added value that IT brings to their professional interests and fields of expertise. The certificate has been designed with these people in mind.The Certificate in Information Technology (CIT) is an introductory program into the information systems discipline. It covers fundamental concepts and operation into the technology and operation of modern information systems. It focuses on techniques, tools and methods used today in the development and use of computer-based applications. The program will be offered to non-College of Management or non-Degree seeking students. The Program covers the Introduction of Information Technology, where basics and computer hardware and Networking program are being covered. Further, the program also covered the complete Office Automation part, where MS Office including MS Word, MS Excel, and MS PowerPoint with Internet shall also be covered. Further, the Program also covers the Graphical orientation with Adobe Photoshop and also gives the sound idea about Web designing through Adobe Dreamweaver. The last but not least the program has also covered the Basic of C# with Concepts of OOPS including .NET Framework shall be covered. The CIT - Certification in Information Technology program majorly covers the following: Introduction to Computers with Computer Hardware Office Automation (MS Word, MS Excel, MS Excel) Internet & Social Media Basic Graphics with Adobe Photoshop Web Designing through Dreamweaver Computer Hardware Basics of Digital Marketing Basic of Internet of Things (IOT) Basics of Blockchain Basics of Industrial Revolution 4.0 CIT Course Contents: Computer Hardware Basics of programming Basics of Software Basics of Networking Internet Technology Basics of Database management Multimedia Basics of Information System CIT CERTIFICATE IN INFORMATION TECHNOLOGY COURSE IN RAWALPINDI sHAMASABAD https://classads.pk/cit-certificate-in-information-technology-course-in-abbottabad-haripur/ https://knotship.com/verify/post/phone https://sellfree.pk/ad/cit-certificate-in-information-technology-course-in-abbottabad-battagaram/ https://baichday.com.pk/cit-certificate-in-information-technology-course-in-abbottabad-bannu/ http://www.pkbuysell.com/+CIT+certificate+in+information+technology+course+in+Abbottabad

INSPIRE INSTITUTE of TECHNOLOGIES PAKISTAN 03465199598 Inspire Institute of Technologies Pakistan 03465199598 offering all diploma courses, management, IT, HSE, Health and safety courses. 03465199598 iosh osha nebosh icertosh IADC Rig PASS Prima Veera Project Management SAP Peach Tree Quickbooks tally Web & Designing Computer Languages Ielts Ms Word Ms Excel Ms Powerpoint VB, C C++ PHP ASP.net Quality Control Quality Assurance QC , QA, TQM Software Engineering Petroleum / Oil & Gas Diploma cit certificate in information technology dit diploma in information technology Civil Engineering DIploma Telecommunication Diploma Difference between IOSH, NEBOSH & OSHA? Many students & professionals ask us the difference between IOSH, NEBOSH&OSHA which are widely demanded for jobs in HSE field. To get the answer, read below this article. Choosing certification depends on following factors. 1. Your financial status, 2. Your previous Experience 3. Your Education level 4. 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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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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