วีดีโอ

സൂപ്പർ ക്ലാസ്സ്‌ വളരെ ലളിത മായി LM ന് മനസ്സിലാക്കുവാൻ സാധിക്കുന്നു... സന്തോഷം സാർ

History 3:47 Diagnosis of Clinical Down Syndrome 5:29 Hall Criteria of Down Syndrome 7:13 Dysmorphism Counselling 10:16 Down Syndrome resemblence : Zellwelger Syndrome, 9 q del , Chondrodysplasia Punctata 12:04 *_Genetics of Down Syndrome_* 13:55 Karyotype Non Disjunction ( 90% cases )14:02 Translocation ( 5-6%) 15:22 Translocation carrier 16:30 Single 21 chr ( 100% chance of recurrence of Down Syndrome) 17:35 Mosaic 18:45 FISH 20:11 Methods of karyotype and Fish 22:02 *_Cardiac Malformations_* 26:31 MC - AVSD MC cyanotic - TOF 40 % DS have CHD 40 % CHD are AVSD 80 % complete AVSD have DS Early Eisenmenger in AVSD in DS Post Surgery - mortality have decreased / 31:08 But complications are more Heart Block are more Post Surgery 34:20 Comparable results with same condition in absence of DS GI Malformations 35:00 DA , HD. Celiac ds *_Endocrine issues_* 39:03 All type of thyroid issue can develop at birth or later on in DS Subclinical Hypothyroidism Need not tell parents their child is or will be infertile as cases of fertility have been seen 42:14 Puberty will occur But tell them issues will be there Hypergonadotropic Hypogonadism All Through life screen for thyroid issues AAP chart for Down Syndrome 44:33 Low BMD is seen as femur # as longevity is been seen Advise - Muscle Strength exercise Vit D + Calcium supplements PCOD in females 47:26 take Brain Protective measures give thyroxine till 3 yrs of life in subclinical cases *_Neurology in DS_* 48:40 More prone for West Syndrome Gen Seizure Discussion on Alzheimer's 54:00 Frequent falls / Weak Bladder control - Atlanto Axial Instability 56:30 *_ENT and Vision in DS_* 60% Ocular issues 59:30 Screening 1:01:59 OSA *_Malignancy in DS_* 1:02:59 Blood >>> Solid Malignancy Leukaemia ( x 20 times risk ) ALL - MC AML incidence still higher in DS compared to General population ( x > 200 times higher risk ) --> importance of screening

21 March : Downs Syndrome Day

Good class.. സാറിന്റെ contact നമ്പർ ഉണ്ടോ

highly respected and one of the world top scientist Dr. Ujjal Poddar Sir

🧑‍🚀🧑‍🚀🙏🙏🙏👌👍

very nice and informative class. please plan a pcv 14 class also

Thank u for the excellent class mam ....god bless u ....expecting more number of videos on important topics mam

വളരെ നേരത്തെ കേൾക്കേണ്ട ക്ലാസ്സ് ആയിരുന്നു.... ഇപ്പോഴാണ് കേൾക്കാൻ കഴിഞ്ഞത്.... വളരെ ഉപഹാരംപ്രദം.... 🌹🙏👍👍

Nitha super class

നല്ല ക്ലാസ്സ്‌ 👍🏼

CNO -48 mulamthuruthy additionl

Nitha Cno52 mulathuruthy Additional

Good class

❤

Nice presentation Sir

Wadakanchery project Ambika kp .cno 159

Mam thankuu,very informative video

Such a good slides and information madam

Very good sir

നല്ല ക്ലാസായിരുന്നു.

s

👌👌👌

Mam,the 3 months period of complete immunity is from 1st dose or last dose?

Kurach koode background music kootti ittal parayunnath nannayittt kelkkum aarnnu

Excellent class,🙏🏼🙏🏼🙏🏼

Excellent class

Chalakudy Aditonal I.C. D. S

Tnks

good class Pandalam 2 CN070

നല്ല ക്ലാസ് ആണ് Sir

Elanthoor ICDS

Koumarathil nilkunna.njan vallatha time thanne enthokke cheyyan thonnunne oru control um illa😂😂😂

Dr no kittumo

Energy kk vendi elladivasavum kudikkamo

ഞാൻ ഈ ക്ലാസ് കേൾക്കുന്നത് ഇപ്പോഴാണ്.. അടിപൊളി 👌👌👌👌😊

Sir I am a pediatrician from north India we don’t get coconut milk very commonly what to give in place of it

At last, watching my hives inflammation fade day after day until they completely vanished was such a relief, I went with what I pointed out and within the first 10 days or so the urticaria/angioedema was barely visible! I just go'ogled the latest by Shane Zormander and after 20 days my skin has never been healthier!

Can't hear anything, very low volume

Disliked this video bcoz, BMG is annoying

kutti eppolelum mathre angane urangunnulu.. onenkil rathry aavum.. bt, pinne ulla 2 karyagalum und

Mam i took ID 0,3,7 th day dose as postexposure and today is 17 th day cat who scratched is also live ...bt she scratch me again on 17 th day means today ... And i have remained 28 th day dose which is still 11 days far away .... Im safe ?? 0,3,7 would have developed immunity???

Excellent class ma'am

Good class

Dengan ini saya meminta kepada dinas lingkungan hidup dan juga dinas kesehatan agar mau menutup bagian atas saluran got yang ada di depan pesantren ekonomi darul uchwah, kedoya, jakarta barat #salamTAMRINgantenk

Good evening ma’am I am Dr Kaushik Borah from Assam My question is if a person has taken 3 does as pre exposure and in case of re exposure with in 3 months of vaccine required??

Ok🇮🇳Badusha

mam i am renal transplant ,transplantation done on 2004 .So far i have taken two full courses 0,3,7,14,&28 of rabbies vaccine within a period of 15 years for class 1 exposure and class 2 exposure .My Second rabbies vaccine schedule five dose was started on 2 november 2021 and completed on 26 th november 2021 .But now on 10 th january 2023 i had a dog scratch again with no bleeding so i took one booster only on day 0 and now on april 4 th i was hit by a bat and again took one dose booster of rabies vaccine and now mam aonce again 18 th april 2023 i was again hit by bat on head i have not take booster this time please advise whether to take or not needed mam because january 2023 i took one booster -day o only and 4 th april i took another booster -day 0 only

Informative

Thank u mam