Medical care in Down syndrome : a preventive medicine by Paul T Rogers; Mary Coleman; Sue Buckley

By Paul T Rogers; Mary Coleman; Sue Buckley

content material: Introducing Down Syndrome --
heritage of Down Syndrome --
Chromosome reviews --
Epidemiology --
the advance of the kid with Down Syndrome: Implications for powerful schooling --
The Dynamic technique of improvement --
Measuring improvement when it comes to IQ --
the wide variety of improvement --
improvement within the First 5 Years --
The Early tuition Years --
childrens --
results of Down Syndrome on improvement --
Why those Delays? --
What do we Do to enhance the kid's development? --
not only not on time --
Designing Early Intervention and teaching programs --
The problem --
Preventive drugs through Age teams --
The Neonate --
Neonatal prognosis --
particular scientific issues --
Genetic Counseling --
Parent-Infant Attachment --
Down Syndrome Preventive drugs list: Neonatal --
the newborn: to 12 Months --
clinical difficulties within the First 12 months --
Down Syndrome Preventive drugs list: to 12 Months --
the kid: 365 days to Puberty --
respiration Infections and center Ear Effusions --
Airway Obstruction --
Cardiac difficulties --
Orthopedic difficulties --
Thyroid problems --
progress and food --
Dental issues --
Ocular issues --
relatives schooling and aid --
Annual Down Syndrome Preventive medication record: Age 12 months to Puberty --
The Adolescent --
Puberty --
clinical difficulties in formative years --
Annual Down Syndrome Preventive drugs list: Adolescent --
The grownup --
scientific matters in Adults --
administration of Psychiatric and behaviour Disorders.

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Extra resources for Medical care in Down syndrome : a preventive medicine approach

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BMkOPMENT IN THE FIRST FIVE V M R S In the first years of life, aXi the usual developmentat milestones are likely to be delayed to sorne degree, The deXay wiXl not usually be the same in all areas of development in an individual child, with social and emotional development usuaily the Xeast affected and either language or motor skills being the most delayed. Each area of development will be considered separately, giving norms for common milestones based on the data from the large Manchester cohort of 181children born between 1973 and 1980, studied by Cunningharn I221 and his coiieagues.

Most were quite unable to cross roads or go about the neighborhood on their own. About half created fantasy friends to talk to and play games with. Most were very dependent on their families for their social lives. Health was generally good at this age. Most did not suffer from more infections than normal. Some had permanent sensory problems. About 16% were rated as having persistent health problems, and these had affected their development. There was no evidence of mental illness. Sexual development was proceeding with few problems, although parents were anxious to receive more information on this topic.

Each area of development will be considered separately, giving norms for common milestones based on the data from the large Manchester cohort of 181children born between 1973 and 1980, studied by Cunningharn I221 and his coiieagues. These families were some of the first in the United Kingdam to receive home-based early intervention, Motor Development Motor development is likely to be affected by the hypotania said to be present to some degree in all the babies f231. All the gross motor skills are achieved 'tater with the average for sitting k i n g 9 months (range 6-16 months), for pulling up to standing k i n g 15 months (range 8-25 months), and for walking being 19 months (range 13-48 months), The norms for the attainment of these three milestones in ordinary c h i l d ~ nare sitting at '7 months (range 5-9 months), pulling to standing at 8 months (range 7-12 months), and wallking at 12 months (range 9-17 months), These figures illustrate a paint that applies to all areas of development in children with Down syndrorne: that the variation in development is much greater than in the ordinary population.

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