freedom from
external control
or influence;
independence.
Practice what you're going to say
Ensure that the physical setting
is comfortable and private
Choose the right time if possible
dont give false hope
NEONATAL INTENSIVE CARE UNIT
Resuscitation
Ventilation
Endotracheal Intubation
Oxygenation, Observation, Protection from cold, Provision of
nutrition, Administration of medications, Maintaining fluid balance
CHROMOSOMES
STRUCTURE
TYPES
ABNORMALITIES
Numerical
How?
Euploidy: Normal set, (2n)
Polyploidy: extra set
of the entire
genome. (3n, 4n etc)
caused by dispermy or failure of cytokinesis
Aneuploidy: the
number of
chromosomes is not a
multiple of the normal
haploid number
(trisomy, monosomy)
DOWN'S
Symptoms
epicanthal folds
Brushfield spots
vision problems
short neck
upslanted eyes
Congenital heart defects
septal defect can cause a build-up of
blood in one or more of the heart's
chambers, which causes the heart to
work harder to pump blood.
palmar crease
DEVELOPMENTAL
MILESTONES
they learn, progress, and
develop more slowly
than most other
children since their
brains develop
differently because of
the extra chromosome
Cause & risks
Mostly, is not
inherited
Risk increases with woman’s age,
with a rise at 35-40 years of age
COMPLICATIONS
Mild to moderate intellectual Disability
IQ Assessment
Reasoning; Problem
solving, Abstract
thinking, Judgment,
Academic learning,
Experiential learning
90 &
above is
normal
70 -90 is borderline
impaired or delayed
<70 is
intellectually
impaired
disability that covers significant
limitations like intellectual
functioning and adaptive behavior.
Epilepsy
Alzheimer-like dementia
Dealing with down's syndrome
Social
Aspects
Sharjah City for Humanitarian Services
Mission :They are aiming at the inclusion and
empowerment of persons with disabilities through
education, rehabilitation, and job placement to shape
independent, self-reliant individuals in society
Impact on family
Poor parent-child
relationship
low self-esteem and
self-confidence, passive and
ineffective coping strategies
Financial Aspects
The medical costs for a child
with Down syndrome were 12
to 13 times higher than a
child without Down syndrome
medical and dental
expenses, and annual
independent check-ups
equipment
programs of training
education
Edward's: Trisomy 18
Patau's: Trisomy 13
Structural
Deletion: loss
of a segment
of a
chromosome
Inversion:
Reversed
order of a
segment
Duplication:
an extra copy
of a
chromosomal
Translocation:
Transfer of a
segment of a
chromosome to
another one.
Insertions: a part
of one
chromosome is
removed and
added to another.
Screening
tests
looks at the risk in this
pregnancy of the baby being
born with a genetic disorder
ULTRASOUND
MATERNAL SERUM
SCREENING
Genetic Counselling
evaluating family history and
medical records, ordering genetic
tests, evaluating the results
TESTS
Karyotyping: test to examine
chromosomes in a sample of
cells
help identify genetic problems as
the cause of a disorder or disease
can be performed
on almost any tissue
Count the number of
chromosomes, Look
for structural changes
in chromosomes
FISH Test: test that “maps” the
genetic material in a person’s
cells
using a sample of the patient's tissue,
special colored dyes are attached to
specific parts of certain chromosomes in
order to visualize and count them under a
fluorescent microscope and to detect
cancer-promoting abnormalities.
doesn't have to
be performed on
cells that are
actively dividing