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PLAYGROUP-MATRIC AGHS Group of Education is looking for Qualified, competent and passionate individuals in following domains: 1- Pre-school teachers (Female) 2- Junior School Teachers (Female) 3- Art Teacher (Female) 4- Academic Coordinator 5-Apply Instructions for this Job Interested candidates may send their hand written applications with complete Resume (hard copy) on the following address: Aims Grammar High School Darogha Abbadi,Jinnah Road Khiali,Gujranwala.

Children & Young Interested to join Forces as a cadets Most respected parents If your child in under 12 years of age or over 12 and in year 8 at school* and under 18, they may join us today. This is what you need to do: 1. visit us or call us for information or mail us 2. We will email you details you need us to update with 3. Interested in joining forces cadets colleges or want to appear in their online test must be physically mentally fit. 4. An interview will be held in morning or in evening, with a parent or carer, to find out either your child is eligible or not It’s that easy, so what are you waiting for? * To join you need to be aged 12 by 1 September at the start of year 8 in school. Being over 18 doesn’t mean missing out on all the fun. You can join as an adult volunteer and enjoy all the activities while also picking up exactly the kind of teamwork and leadership skills that employers and universities look for. if you still need more information' we are here' Ever Feel free to help you out of your child's deficiencies and main studies Base/ iQ Skils Problems ! Our institute was established in 1990' be sure that what we wish for a child from anywhere' we are committed have enough qualified instructors' subject specialist and Experts to provide the full range of activities to cadets who are interested to join Forces Thanks and regards from' Oxfordcadets (since 1990 ) J Block Gulberg iii Lahore Get information on sms 0342 3725 129 or call on 0307 4477990 Whatsapp 333 4/6/33/990 skype oxfordcadets

GOOD NEWS FOR TUTORS (NO Registration Fee) we are hiring male and female tutors all over Karachi for all classes and all levels only for physical classes. Opportunities we are Offering Home Tuitions School Jobs For any query contact us Forward your cv on 03463058748 whatsapp

Pakistan Call us: + (92) 0300 0644556 INFO@CSCP-GLOBAL.COM Building no 18, Neelum Road Sector G-9/3 Islamabad Contact Us Islamabad/ Rawalpindi Branch CALL US: 0300 0644556 Industrial Solutions ISO Certification / Consultancy Inhouse Trainings Inspection Fire Equipment & PPE A Complete Certification Overview of NEBOSH in Pakistan NEBOSH or The National Examination Board in Occupational Safety and Health is prestigious non-profit organization. The NEBOSH is an independent examining board that recognizes the skills and knowledge of professional in the field of health, safety and environment. Currently, the NEBOSH in Pakistan and all over the world offers the certifications into the four categories. These categories are NEBOSH Awards level qualifications, NEBOSH Certificate level qualifications, NEBOSH Diplomas level qualifications and NEBOSH Masters level qualifications. 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. The NEBOSH Certificates Level Certifications are designed to verify the skills and knowledge of inspiring candidates through the following NEBOSH course in Islamabad or rest of the world. 1. National General Certificate in Occupational Health and Safety 2. National Certificate in Fire Safety and Risk Management 3. International Certificate in Fire Safety and Risk Management 4. National Certificate in Construction Health and Safety 5. International Certificate in Construction Health and Safety 6. NEBOSH HSE Certificate in Process Safety Management 7. NEBOSH HSE Certificate in Health and Safety Leadership Excellence 8. National Certificate in the Management of Health and Well-being at Work 9. International Technical Certificate in Oil and Gas Operational Safety 10. Certificate in Environmental Management NEBOSH Diplomas Level Qualifications – The NEBOSH diplomas level qualifications is designed to verify the professional expertise, qualifications and knowledge of inspiring candidate in the field of health, safety and environmental practitioners. To earn the credentials of diplomas level NEBOSH in Islamabad or rest of the world you have to pass the following NEBOSH diplomas level qualifications exam with good marks. 1. The National Diploma in Occupational Health and Safety 2. International Diploma in Occupational Health and Safety 3. National Diploma in Environmental Management 4. International Diploma in Environmental Management NEBOSH Masters Level Qualifications – The NEBOSH Masters level qualifications are offered with the partnership with the University of Hull. This Master degree is open to all NEBOSH holders who are looking to advance level learning in Health, Safety and Environmental Management. To get success in NEBOSH Masters Level qualifications you have to clear the following Master degree level programs. 1. NEBOSH Master of Science (MSc) degrees 2. NEBOSH Master of Research (MRes) degrees Keep in mind we are currently offering NEBOSH IGC and NEBOSH HSW in Islamabad/Rawalpindi Pakistan More than 50,000 candidates get register for NEBOSH qualification every year. The NEBOSH Course in Islamabad are recognized worldwide and inspiring the people that are working in all types of industries. The national and local government organizations are also the best partner of NEBOSH in Pakistan. More than 250,000 people have already earned the NEBOSH certificate since its inception in 1979. Why Should You choose NEBOSH IGC Course in Islamabad from CSCP? 1. NEBOSH Course in Islamabad is one of the most demanding and industry recognition certificates for gaining safety jobs in the gas, oil, power plant, manufacturing and services concern in countries 2. After successfully completion of NEBOSH international general certificate course in Islamabad will develop skills and knowledge that are mandatory to start safety officer job in the local and multinational companies. 3. Possession of NEBOSH certifications in Islamabad means you are the eligible to get the membership of institution of occupational safety and health as TECH IOSH. 4. NEBOSH certified professional will be eligible to become as Associate member in International Institute of Risk and Safety Management (IIRSM) Who should go for NEBOSH IGC Course in Pakistan? The NEBOSH IGC or International General Certificate course in Islamabad Pakistan is used to validate the expertise, skills and knowledge for worker, supervisors, managers and also for others who require an understanding of health and safety practices and management. Either you are working in the large organizations operating outside the Pakistan or you are the employee of the multinational company that is operating in the Pakistan, you should go for the NEBOSH Course in Islamabad. Syllabus for NEBOSH IGC Course in Pakistan Unit IG1: Management of Health and Safety • Why we should manage workplace health and safety • How health and safety management systems work and what they look like • Managing risk – understanding people and processes • Health and safety monitoring and measuring IG 1 assessment is by way of a two-hour written examination. Students have to obtain 45% is clear this unit. Unit IG2: Risk Assessment • Physical and psychological health • Musculoskeletal health • Chemical and biological agents • General workplace issues • Work equipment • Fire • Electricity Top Tips to Pass the NEBOSH Course in Islamabad Is the hard to pass the NEBOSH certificate in Pakistan, yes absolutely, to achieve the credentials of NEBOSH certificate is difficult job. To earn the NEBOSH qualification in Islamabad is challenging job. Without the complete guidelines and expert’s advice you cannot get success in the final NEBOSH certificate exam. It may difficult to purse the NEBOSH certificate in Pakistan with tight office job schedule or as a fresher without any experience. Check out some excellent top tips that will facilitate you to get success in the final NEBOSH course in Islamabad. Once you read out these best tips to pass the NEBOSH course in Pakistan, you will never ask again like how hard to pass NEBOSH certificate qualification. 1. Focus on your Target to be safety officer by completing NEBOSH IGC course in Islamabad Pakistan. 2. Deeply Understand the concepts rather than memorizing it because to become a competent safety officer / safety professionals NEBOSH IGC course in Pakistan is key towards your goal. 3. Prepare with short or sufficient break to successfully complete NEBOSH IGC course in Islamabad Pakistan. 4. Attend Revision Program with the complete attention which is normally conducted by CSCP after completion of NEBOSH Course in Pakistan branches. 5. Use mind mapping strategy all the time which is most important aspect to become safety officer in Pakistan. 6. Practice the mnemonics technique which is helpful to complete NEBOSH IGC course in Islamabad. 7. Prepare a self-note 8. Don’t hesitate to ask doubts because as Best NEBOSH institute in Islamabad and in Pakistan CSCP trainers team is always available and happily respond to students . 9. Attend revision tests to pass NEBOSH IGC course in Rawalpindi / Islamabad Pakistan . 10. Always be prepared because a good safety officer is always is well prepared. Best NEBOSH Course Provider in Pakistan Do you have a plan to certify your skills and knowledge with the NEBOSH qualifications? Are you ready to start preparing for the NEBOSH examinations? If your answer is yes then obviously, you are in search of the best NEBOSH course providers in Pakistan. You do not need to worry about it. There are countless the NEBOSH IGC Course Provider in Rawalpindi. Choose the accredited, certified and NEBOSH recognize NEBOSH course provider in Pakistan and start preparation today. In my opinion the cscp-global.com or Cardiff School is the well know and prestigious NEBOSH training institute in the Pakistan that can help you to become a certified health and safety officer after passing the NEBOSH IGC course with good percentage. Why should you choose cscp-global.com or Cardiff School for NEBOSH Course in Islamabad? 1. Cscp-global.com or Cardiff School offers NEBOSH IGC round the clock Coaching facility 2. We have Nebosh Certified & Industrial Experienced NEBOSH trainers 3. Recommended and High-Quality NEBOSH learning and Training Materials 4. Special Training in Nebosh Question Interpretation Techniques 5. Special & focused training for Resit candidates 6. Flexible coaching courses week end & evening batches 7. Exclusive training methodology which includes coaching, instructor led training, mock exams, group discussions, mnemonics, animated videos and mind mapping etc The cscp-global.com or Cardiff School of NEBOSH certified professional is the ideal choice for NEBOSH inspiring candidate. The cscp-global.com or Cardiff School is the recognized and accredited NEBOSH training partner in the Pakistan. Our experience and certified NEBOSH IGC trainers will prepare you as per the recommend learning resources. We will ensure your success in the journey of NEBOSH IGC certificate level qualification.

Aims Grammar High School Affiliated with B.I.S.E Grw Darogha Abadi, Jinnah Road, Khiali Gujranwala. Phone: 055-4440102 , 055-4254102 Jobs Opportunity (Female Teacher) Aims Grammar High School is looking for Good, Competent and Disciplined Female Teacher can teach Junior and Seiner Classes Physics, Chemistry, Biology, Maths. English, Urdu, Pak- Studies skilled, polite in behaviour, regular and punctual, can work as a good team member. (B.Sc, B.A –B.Ed Candidates are apply for Teaching Post. We offer competitive salary package and other benifits. Only candidates near from Khiali, Gujranwala are requested to apply. Aims Grammar High School. Darogha Abbadi, Jinnah Road, Khiali Gujranwala. Phone: 055-4440102 , 03018640524

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/

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/

For one of our Clients - a renowned Multi-specialty Medical Center Immediately requirement is Specialist Ophthalmologist. Details are as under: to work in a multi-specialty out-patient medical centre. FCPS Post graduate degree + 2 years Experience: 2 yrs contract Salary + Commission: Rs. 600,000 /month Accommodation - Paid Vacation - Air Ticket. DUTIES Routine vision care. Eye testing for clear vision, eyeglass prescriptions, contact lens services, and management of eye diseases. Early detection of eye disorders in diabetic patients. Early detection of Glaucoma ( blindness caused by increased pressure with in the eye) a serious eye problem, and Macular degeneration (loss of detail vision) . Dry eye treatment, headache and eye allergies. Treatment of eye diseases and disorders, itchy eye, burning eye. Early detection of eye sight disorders and correction in school going children All out patient procedures. Please email resume at RESUME@LaoJee.com on or before 29th November, 2014 Regards Dr. Saleem Siddiqi LaoJee Jobs Karachi

For one of our Clients - a renowned Multi-specialty Medical Center Immediately requirement is Specialist Ophthalmologist. Details are as under: to work in a multi-specialty out-patient medical centre. FCPS Post graduate degree + 2 years Experience: 2 yrs contract Salary + Commission: Rs. 600,000 /month Accommodation - Paid Vacation - Air Ticket. DUTIES Routine vision care. Eye testing for clear vision, eyeglass prescriptions, contact lens services, and management of eye diseases. Early detection of eye disorders in diabetic patients. Early detection of Glaucoma ( blindness caused by increased pressure with in the eye) a serious eye problem, and Macular degeneration (loss of detail vision) . Dry eye treatment, headache and eye allergies. Treatment of eye diseases and disorders, itchy eye, burning eye. Early detection of eye sight disorders and correction in school going children All out patient procedures. Please email your CV at RESUME@LaoJee.com before 29th November, 2014 Regards Dr. Saleem Siddiqi LaoJee Jobs Karachi

lllllllllllllll Be Heard llllllllllllll Facing Problem Parents ! is your child with some problem like Autism/Slow Learning/Epileptic/Cognitive/Mentally Retarded/Physically Disabled do you feel he forgets things or have memorizing deficiencies ? We a Team of Professional Teachers, Subject Specialists, Home Tutors & psychologist are ever alive with a special spirit & are available to serve the whole community children, trying to groom their Educational skills worldwide Oxfordcadets J Block Firdos Market Gulberg iii Lahore Phone: +92 3 3 3 4 3 4 9 5 2 2 -- 3 3 3 4 6 3 3 9 9 0-- 3 0 7 4 4 7 7 9 9 0-- 3 4 2 3 7 2 5 1 2 9 We Inspire Soul Natural inner Hidden iQ-Skills Talent in your keen interested Child (Son/Daughter) & Recover their deficiencies, Groom Amazing Studies Base Prepare them for all Online Civil & Military Cadets Colleges Final Selection iQ Test Civil Aviation Authority Pak International Air Lines_SHAHEEN_AIR Hostess Airport Security Force (Combat G.C) CSS PMS Pak Armed AFNS Nurses PMA Long Course PAF GD Pilot Forces Aptitude iQ Final ISSB interviews We explore a child's mind-Taste, thinking, desires & Test them individually. Our psychologists evaluates, diagnoses, treats them to see their studies behavior including their mental capabilities & processes This definition of psychologist is non-exclusive; in most jurisdictions, members of other professions (such as counselors and psychiatrists) can also evaluate, diagnose, treat, and study mental processes. Clinical, counseling, and school psychologists who work with patients in a variety of therapeutic contexts (contrast with psychiatrists, who are physician specialists). Industrial/organizational and community psychologists who apply psychological research, theories and techniques to "real-world" problems, questions and issues in business, industry, social benefit, schools, academies, organizations, and government sectors. Academics conducting psychological research or teaching psychology in a college or university; . Most typically, people encounter psychologists and think of the discipline as involving the work of clinical psychologists or counseling psychologists. While counseling and psychotherapy are common activities for psychologists, these applied fields are just one branch in the larger domain of psychology.Research and teaching comprise a major role among psychologists. Technological advances in the future may increase the usage of computerized testing and assessment services in order to do some of the jobs of psychologists, including recognizing mental disorders, so there are many ways to handle such critical cases of even overage & mentally undeveloped children Who can be Groomed & their Personality can be easily Prepare for all such competitive iQ-Tests & Embassy interviews Ielts- Urdu English Linguistics Spoken skills Let join us ! We Equip a child specially for Forces like Army Navy Air Force Online Selection iQ Test Airmen Aero Sports Gc Special Task Forces Police (ASI FIA) Pak International Airline/ Civil Aviation Authority FIC ATC Tower Meteorological Department & Airport Security Force Get Home Tutor for Quick & Amazing (oriented Result) Recovery With an Unbelievable Impressive Handwriting Style in counted days (Money Back Guaranteed) Call us to Get Tutor for online studies for Quran Learning & other studies Subjects Revision/ Mental Grooming iQ-skills Recovery worldwide 24 hour service. Regards to you all viewers from: Captain Hayat Khattak Principal; Oxfordcadets Gulberg iii J Block Firdos Market Lahore

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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