The term pollution means introduction of harmful and unwanted contaminants into our environment. Due to the borderless nature of our atmosphere and oceans, contamination at a small level can have a huge impact that to in places which are nearby and one of the best examples of this is crop stubble burning in Punjab and Haryana which is a major contributor to Delhi smog. Pollution is a slow poison and is deleterious to the life of all beings, including plants, animals, and humans. With the rise in the pollution levels, no one can escape the harmful effects of the same on health. Though pollution poses a great threat to everyone, it is the children who are most effected, let us read on to know the reasons

Why are children more susceptible to pollution?

The lung function, immune system, and metabolic systems in children are not fully developed and functional which makes it difficult for the body to fight these pollutants.
Children breathe in more air per kilogram of their body weight than adults, so they take in more pollutants per breath.
Children are not only more active but also have a faster breathing rate than that of adults. This means that they take in more environmental toxins and at a much faster rate.
What are effects of pollution on children s health?

Exposure of pregnant women to polluted air is strongly associated with premature birth, low birth weight, and intrauterine growth retardation. Low birth weight babies and premature infants are more prone to developmental delays and other disorders.
Exposure to certain pollutants like carbon monoxide and ozone are linked with septal and valvular defects in the heart of a child.
There is a strong association between particulate pollution and symptoms like wheezing and bronchitis in both adults and children. This is the main reason why there is an increased prevalence of Asthma in children in urban areas. Research has shown that high level of pollutants in air cause deficits in lung function growth.
The immune system which protects the body from infections and germs is not fully developed in children. Pollutants are known to cause suppression of immunity in small children making them more prone to infections.
Children need sufficient Vitamin D for strong and healthy bones. Vitamin D is known as sunshine vitamin and is synthesized in the body on exposure to UVB rays of the sun. Increased particulate components in the air reduce the amount of UVB radiation reaching the ground level. More than 60% children are Vitamin D deficient and require supplements orally.
The exhaust of gasoline and diesel is known to emit carcinogens which are thought to play a role in the development of leukemia (blood cancer) in children.
The nervous system is a target for many environmental pollutants. Exposure to these pollutants can lead to neurological deficits and delays in development. Some of these effects are irreversible and long-lasting.
Unfortunately, with urbanization and increased population, the levels of particulate pollutants in the air are increasing at an alarming rate. The problem of pollution needs to be addressed immediately, until then it is best to keep the children indoor and take necessary precautions and keep children safe from exposure to the pollutants.

Pollution - How Is It Worse For Children?

Speech therapists are known by different names but most commonly, they are referred by people as speech therapists, who make children undertake different speech therapies to make them recover from their problem in talking or in their attempt to express their thoughts. These therapists work with children having a range of disorders and delays from minor articulation delays to more complex kind of disorders such as hearing impairment, motor speech disorders and other developmental delays.

We will now look at some of the ways through which speech therapy can help in the better development of a particular child:

Articulation skills and speech intelligibility: The physical ability to get the tongues, lips, jaws and palate moving in order to produce sounds of speech individually, which people call as phonemes. For instance, in order to articulate the /b/ sound, one needs to inhale, then at the time of exhaling, one has to turn their voice on by bringing the slightly tensed lips together to pause and build the airflow up, then finally release the airflow by getting the lips parted.

Intelligibility is all about how well people can understand a child s speech. A speech therapist can work along with the child to teach them on ways to produce particular speech sounds or certain patterns, he or she is having difficulty with, which in turn is affecting his overall speech intelligibility.

Expressive language skills: On one hand, where speech requires physical motor ability for talking, language refers to a symbol or a definite rule-governed system used for conveying a message. In the English language, the symbols could be in the form of words, either spoken or in written form. There are also certain symbols in the form of gestures like shrugging of shoulders to give the impression that he doesn t know a certain thing or a wave to indicate bye-bye or getting their eyebrows raised to indicate that one is surprised by an event or by hearing something.

So, basically expressive language is referred to something which a child says through signs and gestures. Speech therapists can let a child learn new words and teach them how to put the words together and hence form phrases and sentences, hence allowing them to communicate with others.

Receptive language or development of listening skills: Receptive language is nothing but a child s ability to listen and understand a particular language. Often, children tend to have stronger skills for receptive language than the skills required for expressive language. Hence, understanding becomes easier for them than their ability to express whatever they have understood. A speech therapist can help in teaching a child new words and the way they should be used to follow particular directions, reply to questions and thus take part in simple conversations with peers and other people.

Speech fluency: Speech fluency is affected by stuttering, which refers to the breaks in the flow of speech. This hampers one s ability to talk freely. Through speech therapy, a child can come across different strategies on how to control this behavioral pattern and lead to an increase in speech fluency.

How Speech Therapy Can Help Develop Your Child Better?

Is your child undergoing Primary Immunodeficiency Disorders (PIDDs)? If you are tired of seeing your child suffering with regular cold and cough which could be solely due to a lack of nutrients in the diet, resulting in low immunity of the body. Adopting healthy habits by cutting back on junk food while including healthy items will help raise your child s immunity levels immensely. 

Some of the best foods to include in the diet to increase the immunity of your child are mentioned below:

Eggs, pulses, lean meats and other healthy protein: Immunity buildup may be disrupted if there isn t enough protein in your diet. Milk protein in cow s milk or dairy products like butter and cheese, animal protein in lean meats such as chicken and ovo-protein in eggs are highly beneficial and raise immunity levels.
Fish for immunity build up: Fish is a great immunity builder and also helps in making the brain work more efficiently. Fish meat contains lean proteins as well as essential Omega-3 acids which help properly regulate many functions within the body raising immunity.
Stay healthy with yogurt: There are a lot many flavored varieties of curd or yogurt that your child may like and which is also considered as a power food source. It helps reduce gastrointestinal illnesses. However, try and go for the less flavored ones as they would have lesser amounts of processed sugar.
Oats and Barley for your rescue: The reason why oats and barley are healthy alternatives, especially for children is because they are composed of beta-glucan (fibre containing antioxidants and antimicrobial properties). This helps in avoiding constipation thus cleaning the intestine and hence avoiding the buildup of harmful bacteria within the body.
Fruit toppings are delicious: Fruits are not limited to mangoes, apples and bananas only. Darker the color of the fruit, greater is the nutritional value. Berries, peaches, melons, pomegranates etc, can and should also be included in your fruit intake as they are healthy as well as tasty.
Vegetables can be tasty too: Growing children require leafy green vegetables for physical and mental development as they contain zinc, iron and folic acid. Foods like fenugreek leaves and spinach are an example of vitamin rich food items. You can include spinach and other vegetables in a clever manner by making the food interesting so that children would want to eat it willingly.
Carrots to fight infection: Carrots are beneficial for good eyesight and protection from infections. With carrot intake it becomes quite difficult for the bacteria and germs to ender the blood vessels. This can be made into a salad or craved figuring to make it interesting to the kids.

Immunity of Your Child - 7 Foods that Help Boost It!

Pulmonary Function Tests or PFTs are a set of tests that are used to determine, measure or observe the functioning of the lungs. The most common pulmonary function tests used are spirometry, gas diffusion, and lung plethysmography. 

Highlights of pulmonary function tests

A spirometry test is used to measure the amount of air inhaled and exhaled. It also measures the amount of time taken to complete a respiration cycle.
A lung plethysmography measures the amount of air in the lungs after the patient has taken a deep breath. It also measures the amount of air that remains in the lungs after the patient has exhaled as much air as possible.
What does a Pulmonary Function Test measure?
Pulmonary function tests would not only check how well the person is breathing but also how effectively the lungs are able to conduct oxygen to the rest of the body. In addition to air flow, these tests would measure the size and volume of the lung and lung diffusion.

These tests can also be used to measure

Total Lung Capacity   the amount of air present in the lungs after breathing in deeply
Forced Vital Capacity   the amount of air that can be exhaled after breathing in deeply
Minute Volume   the amount of air exhaled per minute
Vital Capacity   the total volume of air that can be breathed out after inhaling as much as possible
Tidal Volume   the amount of air inhaled or exhaled when breathing normally
Maximum voluntary ventilation   the amount of air that can be inhaled and exhaled in one minute
Functional Residual Capacity   the amount of air that remains in the lungs when breathing normally
Forced Expiratory Flow   the flow or volume of air during an exhalation
Peak Expiratory Flow Rate   the rate at which a person can exhale
When are Pulmonary Function Tests recommended?
A physician might recommend a patient undergo a PFT as part of a routine physical check-up. This test would be advised if the patient is experiencing any symptoms associated with lung problems or disorders such as asthma, respiratory infections, chronic obstructive pulmonary disease, COPD. A doctor would also use these tests to monitor and check whether a certain treatment prescribed for a lung disease or condition is working effectively.

Pulmonary function tests are safe as they are non-invasive but it is important to follow the instructions of the doctor or technician before, after and during the test. It is important to make your doctor aware of any surgeries, respiratory infections, chest pains or heart attacks that you might have experienced before the test. If you are taking any medications you might need to follow the advice of the doctor as to whether you can take them before the test.

Your doctor would also advice you on how to prepare for the test such as not eating a large meal, avoiding caffeine and wearing loose-fitting clothes. If you have any doubts, concerns or queries discuss them with your doctor.

Pulmonary Function Tests - Why Is It Required?

Women tend to develop high levels of blood sugar during their pregnancy (especially within the 24th and 28th weeks), irrespective of whether they already had suffered from diabetes prior to their pregnancy. However, gestational diabetes, if not taken proper care of, might escalate the risks of developing diabetes in the near future for both the mother and the child, accompanied by complications in pregnancy or labor. Gestational diabetes is usually characterized by mild symptoms such as excessive urge to urinate, excessive thirst, blurred vision and fatigue.

Causes:
Insulin, a hormone produced by the pancreas, allows for the utilization of the glucose for energy. The food consumed is broken down by the digestive tract of the body, converting carbohydrates into glucose before releasing it into the bloodstream. The glucose is then absorbed by the cells to be used as an energy source. Now, at the time of pregnancy, the placenta (organ nourishing the fetus) connecting the baby to the blood supply also produces various other hormones in high levels, for instance, estrogen and human placental lactogen. Most of these hinder the normal functioning of insulin in the cells, hence raising the blood sugar count. With subsequent growth of the baby, the placenta keeps on producing more amounts of such insulin resistant hormones to an extent that they are capable of meddling with the development of the baby.

Treatment:
1. Monitoring the blood sugar count at least four to five times a day and keeping it under control might help to ease the complication.
2. A healthy diet consisting of whole grains, vegetables and fruits in the right proportion and limiting sugar or other highly refined carbs meets the nutrition and fiber requirement of the body. Guard against additional weight gain during pregnancy as that hampers the entire process.
3. Exercise or regular physical activities help to normalize blood sugar level by boosting glucose absorption in the cells. Furthermore, exercises also enhance the sensitivity of the cells towards insulin. This means that only a little amount of insulin production by your body would be enough for the transportation of sugar.
4. Medication, If exercise and diet fall inadequate, insulin injections are often administered to control blood sugar count.
5. Keeping the baby under close observation with the help of repeated ultrasound and other tests to record its growth and development is an essential part of the treatment plan.

Gestational Diabetes - How It Can Be Treated?

Viral fever in newborn babies

What is viral fever?

Viral fever refers to an acute infection caused by the action of viruses. Flu or influenza is the most common form of viral fever. Since viral fever is contagious, when an infected person sneezes or coughs the virus spreads and comes in contact with other people. Children can remain contagious for about 10 days if they get the early symptoms of viral fever. Children who are younger than two years are at an increased risk of developing complications pertaining to viral fever. Controlling the symptoms of cold, fever and cough can cure viral fever.

Symptoms of viral fever

Fever and chills are the early signs of viral fever. Children suffering from viral fever will feel pain throughout their body. Other common signs and symptoms involving viral fever include cough, cold, runny nose, sore throat, nausea, fatigue, vomiting, headache, diarrhea, and stomach ache.

Certain preventive measures against viral fever

-Keeping your child away from anyone who is sick is advisable. To prevent the germs from spreading ask everyone to use tissues while they sneeze or cough. Make sure that your family member maintains good hygiene habits if he/she is suffering from diarrhea or is vomiting.
-To prevent coming in contact with germs wash your and your child's hands properly
-Seasonal changes are the thriving phase for viruses so take precautionary measures during those periods of the year

Tips for quicker recovery of your child

1. Offer enough drinks

A child gets dehydrated through fever, vomiting, and diarrhea. Oral Rehydration Salts can be given to little ones as it contains all the essential nutrients. This can be given to a baby even if he/she is just in breastfeeding stage.

2. Feed them special food

Soft and semi-liquid foods can be given to your child if he/she older than 6 months. Foods like dals, soups, and curd with sugar are advisable for your child. As he/she gradually gets stronger thicker foods like mashed vegetable can be added to his/her diet.

3. Ensure that your child gets adequate rest

Since viral fever is contagious it is advisable to let your child sleep in a separate room. Since the fever causes fatigue adequate rest is required for recovery. This will also prevent him/her from getting the other family members infected.

4. Sponge your child's body

Sponging your child's body with lukewarm water can control high fever.

5. Maintain proper hygiene

It is essential to wash your hands before and after touching your child to prevent the infection from spreading to the other family members.



Viral Fever in New Born Babies

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