Chromosomal abnormality happens when a cell has too many or too few chromosomes. The most common form of chromosomal anomaly is Down s syndrome. If a parent has a chromosomal anomaly, she/he will pass it on to the child. PGD or Pre-implantation Genetic Testing aims to select only the embryos with normal chromosomal count and only these embryos are implanted to achieve a healthy pregnancy and bring down the number of children affected with a chromosomal anomaly.

The risk of Aneuploid pregnancy:

The older a woman is when she tries to conceive (aged 35 or more), the higher the risk of Aneuploid pregnancy (carrying a baby with genetic or chromosomal abnormality). Most of these pregnancies end in miscarriages and the few that come to term produce babies with chromosomal abnormalities.

Causes of Chromosomal Abnormality:

Usually, chromosomal abnormalities occur due to an error in the cell division. Meiosis refers to the cell division, which the sperm and the egg undergo during the development procedure. Normally, meiosis breaks the chromosomal material into two equal halves, so that each of the parents contributes 23 chromosomes to the pregnancy. However, when the number of chromosomes in the cell goes up or down than the normal, it results in genetic/chromosomal anomalies.

PGD Procedure for a Chromosomal Anomaly:

If a couple elects to go for Pre-implantation Genetic Diagnosis, they have to undergo ICSI Cycle. ICSI cycle initiates a fertilization cycle to produce embryos. When the embryos reach upto day 5 and blastocyst are formed, they are biopsied and further sent to genetic lab for detecting the chromosomal abnormalities. The embryos are incubated for the entire duration of the genetic screening. Only the embryos that the genetic test clears are implanted. PGD never reveals the gender of the embryo.

PGD can help detect the single genetic disorders that may lead to the following ailments:

  Cystic fibrosis
  Muscular dystrophy
  Tay-Sachs
  Sickle cell anaemia
  Thalassemia
  Turner syndrome

PGD is a revolutionary science that can help root out incurable disorders linked to genetics. It ensures that pregnancy is sustained until term and a healthy baby is born.

Suffering From Genetic & Chromosomal Anomalies - Know About PGD!

Paranoid personality disorder (ppd) is a mental disorder which makes you feel fearful, nervous and suspicious about people or situations around. This disease usually starts to show its signs from early adulthood and is more common in men than women. People suffering from this disorder are unable to maintain close and long lasting relationships with people as they have the habit of blaming and not trusting other people. The most common symptoms of this disorder are:


	Doubting the loyalty of others
	Fear of revealing their own personal information
	A tendency of holding long lasting grudges
	Inability to handle criticisms
	Abrupt instances of anger and instant reaction
	Showing traits of coldness in a relationship
	Having a feeling of always being right
	Having problems in relaxing
	Being stubborn, argumentative and hostile



	Causes: the exact cause behind pdd is still unknown, but according to some medical researchers it happens due to a combination of biological and psychological conditions. Additionally, bad emotional experiences during childhood and having gone through a physical or mental trauma also leads to the development of the disease.
	Diagnosis:&nbsp;this condition cannot be diagnosed at home and is usually diagnosed by a specialist. The first step taken by a doctor in order to diagnose the disorder is an examination of the medical and psychiatric history of the person. Additionally, if the health records of a person do not indicate anything, then the doctors usually go for some expert opinions by a psychiatrist.
	Treatment:&nbsp;most of the people suffering from this disease are not even aware about it, until someone brings it to their notice. Doctors usually believe that psychotherapy, which is a form of counseling, is the best way to treat pdd.



All About Paranoid Personality Disorder

Body pain and Physiotherapy

Physiotherapy is an effective way to reduce various kinds of body pains. Physiotherapy includes massages, exercises, and heat treatments to relieve pain. This treatment is often recommended as the first option to treat back and neck pain. Physiotherapy is also used to rehabilitate patients after surgery. Different kinds of exercises included in this treatment are also useful to treat sports injuries.  Here are some steps that you can take to relieve your body pain incorporating physiotherapy.

Get appropriate help

It is important to properly diagnose your condition before going for physical therapy. Seek help from a professional and if he/she recommends physiotherapy then only opt for the treatment.

Reduce your severe pain before exercising

If you are in immense pain, work to alleviate the pain before engaging in exercises. Cold/ hot therapy, massage, manual manipulation are some of the methods that can slowly reduce the pain. These are all part of physical therapy.

Exercise

Exercising has numerous health benefits including relieving back pain. As you age, your back tends to get weaker; it is important to workout to prevent future backaches. Stretching, strengthening and low- impact aerobics are ideal for this issue.

You can also try water therapy as water has a therapeutic effect on pain and makes your movements much easier than on land.

Observe your body's reaction to physical therapy

When you have just had a back or neck pain episode and try physical therapy you will feel some initial discomfort, it is expected. After you acclimatize yourself with the routine all kinds of pain will gradually diminish. The initial pain due to physiotherapy is caused because your muscles are stiff and they are being stretched the way they are not used to. However if the pain gradually increases you are probably not right for that particular kind of physical therapy.



Body pain and Physiotherapy

A neurological disorder is characterized by sudden recurrent episodes of sensory disturbance, loss of consciousness, and convulsions associated with abnormal electrical activity in the brain.

Role of Physiotherapy in Epilepsy

It helps improve strength, mobility, and increases the range of motion and sphere of movement.
It helps improve sensory awareness, response, balance, and coordination.
It helps to improve quality of movement and physical performance.
The Goals of Physiotherapy

To develop strength enough to support one s head upright
To have balance and motor control to maintain their trunk at midline
To use many different muscle groups
To assist necessary motion in their trunk and extremities
The physiotherapists write short-term goals for each of the items on the problem list that need to be covered to help the patient achieve the long-term goals
To understand what the patient is good at and does well
To focus on what he or she capable of doing rather than on what they can t do
To educate and provide awareness with a view to prevent injury. For example, advice on special swimming equipment to prevent drowning if he/she gets seizures in the pool
Physiotherapy treatment for a healed fracture consists of strengthening muscles that have got weak from being immobilized and stretching muscles that are stiff owing to being in the cast for a long period of time.

Physical exercise improves fitness, energy, and mood and even relieves stress. Improving overall health and wellbeing in this way can help reduce seizures. It can also help people feel more in control of their health. It also helps release  feel good  hormones into the brain, helps keep the muscles active, reduces fat levels in the body, and increases oxygen flow to the brain. It can also increase the bone density. A research showed that regular sessions of aerobic exercise (for example running, walking, swimming, cycling) for 60 minutes, twice a week, for 15 weeks resulted in a significant reduction in the number of seizures they had.

Drink water, diluted fruit juice, or squash while exercising to help replace the fluids and body. Do not exercise straight after a meal.

Team sports or group activities such as walking or gardening groups can also be a good way of increasing self-confidence. Making new friends may help with any feelings of isolation. Most sports, including contact sports like football, hockey, basketball and rugby, have not shown to increase the chance of someone having a seizure, but contact sports come with an increased risk of head injuries, which could affect people with a history of epilepsy. Protective sports headgear helps to reduce this risk. 

Role Of Physiotherapy In Treating Epilepsy!

Asperger's syndrome has recently come under the umbrella of autism spectrum disorder. This syndrome usually affects the social skills of the patient, most heavily. The patient may seem normal and even intelligent at first glance. But on closer interaction, several social skill problems will come to the fore including an obsessive focus on certain topics and issues. Repetitive behaviour is also a part of this disease. Let us find out more about asperger's syndrome.

Symptoms: the symptoms usually begin to show up early on in one's childhood. The patient will not be able to make eye contact while speaking with others. Also, a perfectly normal person may seem inordinately shy and reserved during social interactions. This awkwardness may come to the fore in the form of looking for expression cues on other people's faces and even the body language. The patient may not be a very happy and lively soul, with hardly a smile to crack at the funniest of jokes. The lack of emotions or the emotionally numb state is also a major giveaway of the condition. Other symptoms may include a strong aversion towards change in food habits and routine.

Diagnosis: the diagnosis is usually done by mental health specialists like a developmental paediatrician, a psychiatrist, a psychologist or even a paediatric neurologist. These specialists can put the child through a variety of tests that will study the neurological health as well as the speech and emotional behaviour of the child.

Educating the parent: once the diagnosis has been done, the parents of the patient will have to appraised of the condition and its implications. The symptoms and treatment will have to be duly discussed even as the parents are put through training and therapy to learn techniques with which they can help the child in progressing along more normal lines. The therapy will also help the parents deal with the challenge of living with someone suffering from this condition.

Treatment: there are varied forms of treatment that aim at fixing the specific areas and symptoms that the patient is learning to live with. Social skills training, speech and language therapy, cbt or cognitive behavioural therapy and other forms of treatment can help the child overcome many symptoms that come from this condition.

In the course of the treatment, it is important for the child, parent and therapist concerned to realise that there is no single approach that can be applied to all patients suffering from asperger's syndrome. Individual care and therapy will be required for individual cases. At the same time, most of the skills will need to be repeated at home so that the child takes them more seriously.

What Is Asperger's Syndrome?

Smith and Mackie (2007) term self-esteem as a set of positive or negative opinions about oneself. Self-esteem is an important predictor of success in career, relationships, marriage and public life. People who are depressed have a very low self-esteem about themselves. They think of themselves as good for nothings and persons having a nil value. There are three states of self-esteem. They are;

Shattered: An example of a person having shattered self-esteem is when he says,  I am old and useless to do this kind of work . This person sees himself as an absolutely useless person.
Vulnerable: In this state, a slight embarrassment or defeat may expose the vulnerable side of the person. Otherwise, such persons have a positive frame of mind.
Strong: People in this state are very strong emotionally. Defeats, embarrassments etc. do not affect them. These people have a very high sense of self-esteem.
Psychologists, however, have prescribed several ways through which one can improve one s self-esteem.

How to improve one s self-esteem

Control your thoughts- Watch out what your inner critic is saying to you. Every time you hear its voice, ask yourself- would this be the way your best friend would speak to you? If your inner critic is being merciless on you all the time, you need to silence it.
Focus on the good things that happen to you- Everyday, write at least 3 good things that happened to you. Avoid the obstructive or harmful things that came your way. Focus on the happier side of the day. Do not dwell upon the negatives.
No need to be perfect- In the quest to be perfect, many people lose control of themselves. It probably must do with the pressures of modern life where achievement is the be all and end all. But, not everyone can be perfect. Rather, focus on the effort or process. This way, you will be better able to appreciate yourself as a person.
Accept mistakes- Often we fail to realise that mistakes come to us masked as opportunities. But, we are too fixated by the mistakes we commit. We are obsessed with the thought,  Why did I commit this mistake?  rather than,  How to avoid this particular mistake? . If we learn how to avoid committing mistakes, we will tremendously improve our self-esteem.
Experiment with new skills- Try out new skills and then improve upon them. For example, you may pick up music and track your achievement levels. If you continually improve yourself in this new skill, you will obviously set new benchmarks. Give credit to yourself after achievement of every new milestone.
Accept your limits- You are no superman. You have your own limits. Once you accept your limitations, you will stop blaming yourself for all the wrongs that are happening to you. 

Self Esteem - How Can You Improve It?

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