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?

5 priceless gifts for your child this children’s day

On the occasion of Children’s Day this year, switch to smarter choices from entertaining toys and noisy video games as gifts for your kids. Enhance their lifestyle by making available gifts that involve constructive physical, cognitive or emotional skills. All you need to do is find the ideal gift for your little one that adds a smile on his face while teaching him something meaningful.

Maintain your own Calendar!

Gift #1- Most children like to know what day it is, how many days until a certain event, or even what the plan of the day is and so on. Some kids struggle with spur-of-the-moment plans. Gifting your little boy or girl their own month or annual planner will also make your world run smoothly. This enables them to write down their own classes, events, play dates or school days.
Benefit- A calendar would make your young one responsible enough to remember important dates and maintain his/her own schedule.

Challenging Games and Puzzles!

Gift #2- Kids love great indoor activities that pique their interests. Some are known to be constructive activities that teach your child a lot. Certain games help in strengthening mathematical skills in children like Monopoly and Payday. Memory or language games too help in adding value to your child’s mind. Rory’s Story Cubes and Q-bitz are challenging games that check and increase visual and creative skills.
Benefit- Games help in brain development and enhance problem solving skills. Puzzles increase creative and novel thinking that help in building your kid’s IQ.

Home-cooking Spree!

Gift #3- If your children enjoy eating or cooking food, they will love this gift. All you need to do is select an easy recipe of a yummy treat and purchase all the required ingredients. To make the event a special one, set a date and time for cooking together. Baking or cooking together with your child is an ideal time to share a beautiful bond while they learn life skills.
Benefit- This special home activity will surely instil culinary values. As a whole this process would also train them to work as team and follow procedures and steps carefully.

A Micro-Library for Kids

Gift #4- Reading is a habit that mostly develops at a younger age and it’s an essential if you want your child to have a strong hold over a language. Books with a message and stories with a deep-rooted moral go a long way in inspiring the young minds. Good reads with a positive layout for kids that you can opt for are “I Believe in Me” by Connie Bowen or “On My Way to a Happy Life” by Deepak Chopra.
Benefit- Books are teachers in itself as they impart knowledge. Good books develop spoken, written, creative and cognitive skills whilst teaching your kid perfect usage of the language.

Telling the Time

Gift #5- You can check whether or not your child knows how to read analog clocks in this age of digitalisation. If you find he/she takes too long to think about it you can think of getting them a cool analog watch with three hands. This makes them want to be able to tell time on it.
Benefit- Being on time is a wonderful thing. Train your kid to be punctual at his/her growing years by gifting them the perfect time-managing instrument.



5 Priceless Gifts for Your Child this Children’s Day

Breastfeeding has shown to have an incredible impact on the growth and development of an infant on account of the nutrients which are provided to the baby. The mental development which occurs due to breastfeeding is said to show even years from the time that a person was an infant. When a person considers just how important breastfeeding truly is, she would not want to make a mistake, would she?

A lot of new mothers are concerned, if their babies seem to fall asleep while feeding a lot quicker than they should. As a matter of fact, they worry that the babies will not get enough breast milk and this can stunt the development of the young ones. While this is true, it can be said that a few steps taken can make sure of the fact that there would be nothing for the mothers to worry about.

Inadequate consumption: It is natural for a baby to have a tendency to fall asleep, after all, that rapid rate of growth is likely to consume a lot of energy. In order to make sure the baby consumes enough milk prior to falling asleep, what should be done is that the mother should transfer the baby from one breast to the other one when she notices that the rate at which the baby is consuming is slowing down. The effect this has is to make sure that the rate of transfer is maximised; as the fastest rate, the milk transfers is when the baby begins suckling, for the first few minutes.
Risk of Infection: Taking into due account what a sensitive and important process breastfeeding is, it can be said that an infection is something which can disrupt the process. One of the infections happens to be thrush. This is one which can spread from the mouth of the baby to the breasts of the mother. The effects of the infection include soreness and possibly even a rash. A doctor would probably provide the patient with some anti-fungal medication in order to fight the infection off.
Latching problems: Another issue which is faced by new mothers is that there is a pain when the baby is to latch on to the nipple. In order to reduce this, what can be done is that the mother can try keeping the baby in a position to cover as much of the area under the nipple than over and adjust the baby to cover the nipple when he or she yawns.
These are just some of the common issues faced by new mothers. However, following a few simple measures can ensure that the experience of breastfeeding is most satisfying for both mother and child.

Common Breastfeeding Problems & Their Solutions!

Fluoride products for the teeth have immense importance in dentistry. Fluoride is one such chemical, the balance of which is highly required for strong and healthy teeth. However, there is an optimum amount of fluoride needed for teeth. Anything lesser than that or greater than that can cause harm and serious teeth and gum problems and tooth decay. The best option, therefore, is to get a fluoride based toothpaste or mouthwash, which will keep on providing the teeth with the optimum quantity of its daily dose of fluoride.

The benefits of fluoride products
Before delving into the types of fluoride products available, let's have a look at the benefits of fluoride on teeth. Fluorides actually save the teeth from dental caries. It happens such that fluoride makes a certain mineral bonding on the teeth which is called fluorapatite. This is not normally found in human teeth, but when teeth damage is done, then to heal it fast this compound is needed to repair the damages. This adds to the mineral bonding in the teeth and strengthens the teeth.  

The fluoride products
The various fluoride based products, which you may use are as follows:

1. Fluoridated water: Fluoridating water is a simple process where the optimum amount of fluoride is mixed with drinking water so that drinking the water automatically keeps on adding fluoride to the body and keeps in contact with teeth. This therapy alone is enough and needs no more therapies generally. But not all water reserves contain this, and it's not possible to add fluorides to all water reserves. That is why the other fluoride treatments are needed.

2. Fluoride toothpaste: This is one of the most common forms for fluoride treatments. Every common daily use toothpaste contains a 0.22 to 0.312 percent of fluoride, and this is highly beneficial to the teeth for healing of decay and fast repairs. It lets the teeth get stronger. 

3. Mouth Rinses: Fluoride mouth rinses are an option. The sodium fluorides commonly used in the rinses are used in small amounts in the product which is used just like toothpaste and washed off.

4. Fluoride foams and gels: The foam and gel are used when the teeth of the child or adult are under high risk of cavities. The foam or gel is rubbed on the teeth, and kept for a while and then washed off. The typical application time is 30 minutes. 

5. Varnishes: The fluoride varnishes are just like gels, and they are also used on the tooth surface similarly. It's the choice of the dentist or patient as to which one they want to go with. Besides, these slow fluoride releasing devices, medical supplements and lozenges are also there, which slowly release the optimum amount of fluorides to keep the teeth strong and healing.

Use of Fluoride Products for Teeth

Child sexual abuse is a pressing issue in society today. Statistically, there has been a considerable increase in the number of cases related to juvenile sex abuse over the past decade. Most of the cases report the abuser to be a close family member or a family friend rather than a complete stranger.
Future Consequences-
A sexually abused child may develop severe mental health conditions and have major difficulties coping with as an adult. One of the most common disorders affecting survivors of child sexual abuse is Post-Traumatic Stress Disorder (PTSD). This involves the individual reliving the trauma all his/her life, thus leading to panic, stress and difficulties in living a healthy life in the longer run.
The individuals who were abused as a child normally suffer from a very low self -esteem. They continue to blame themselves for the events that occurred and hence have a rather demeaning view of themselves, leading to adjustment issues in the future.
They may also be diagnosed with clinical depression owing to the previous trauma. This hampers the everyday functioning of the individual. The individual may continue to relive the past traumatic events in the mind that further fuels their depression and contribute to the vicious cycle, eventually.
Most often, survivors of child sexual abuse have a rather impulsive nature owing to the hampered functioning of impulse-control. They have lesser control over their emotions, especially anger and are rather quick to act on it.
Because of all the complications, they might be less socially competent and thus fail to build firm peer relationships. They grow up to be adults with severe trust issues; they are hence, often side-lined because of their cynicism which leads to further depressive symptoms.
Genophobia or the fear of sex is another complication that they may experience as adults. They may avoid sex altogether or engage in sexual activities that are rather violent in nature. Some survivors may develop certain sexual fetishes that can be rather dangerous; the most common being  paedophilia  or the sexual arousal involving prepubescent children.
Conclusion-
The seriousness of the condition is often undermined. In treatment, various therapeutic techniques are used according to the need and age of the patient. Therapists work to promote positive thinking among the sufferers so that it becomes easy for them to accept their past and move on in life with a better outlook. With proper guidance and help, the individuals are able to overcome their mental health issues and live a wholesome life.


Sexual Abuse -  Mental and Psychological Effects on Children

There is always a sense of anxiety, whenever we tend to start off with something new, as people are resistant to change. It is more so in the case of young children. School refusal refers to the refusal of children to attend school as a result of emotional distress. This school refusal can wreak a kind of havoc on families.

Elaborate on symptoms a little more and causes

Symptoms

There are certain symptoms related to the refusal of children to attend schools. They include:

Often it comes in the form of tantrums
Frequent complaints of stomachaches, vomiting, nausea, exhaustion, headaches or diarrhea
There could be loud meltdowns in an overwhelming manner, which include their refusal to leave the house, running down the street to avoid getting inside the car or on the school bus
Children might even become aggressive and lash out at their parents with physical blows
Child feeling fearful of being alone in a room or dark


Causes

Some of the primary causes include:

It arises out of students having a feeling of separation from their parents and homely atmosphere, hence, leading to anxiety
It comes out of an emotional attachment which children tend to have with their parents, especially mothers
Children tend to feel scared with the thought of getting into an unknown atmosphere all of a sudden.
Consistent fear of criticism, ridiculing, confrontation or punishment by the teacher or any other person in the school
Having learning difficulties
Being afraid of qualifying the tests
Not feeling comfortable with school activities like singing, playing or attending school assembly
Fear of being ridiculed due to appearance, clothes, weight, etc.
Fear of being bullied by a class or schoolmate
How Can Children be Helped to Get Rid of this Problem?

The ideal treatment to help all those children struggling with school refusal includes a team approach. It will be beneficial to have a strong team which includes the class teacher, family and if possible, a mental health professionals. The steps include:

1. Assess: The very first step is to complete medical and psychological examination. Given the fact that school refusal is usually linked to an underlying anxiety or depressive disorder, it is necessary to get to the root of the problem and begin there. This would include both family and teacher questionnaires for interviews.

2. Cognitive Behavioral Therapy: This is a very structured form of therapy, which helps children to identify their maladaptive patterns of thought and also learn replacement behaviours. It would help children to confront and work through their anxiety.

3. Desensitization in a Systematic Manner: Those children who struggle with school refusal, need a graded approach to return to school. They can return for a some increased amount of time and then gradually build upon it.

4. Training for Relaxation: This is extremely essential for all those children who struggle with anxiety. Some of the relaxation strategies include deep breathing, guided imagery and mindfulness, which kids practice at home and also utilize in school.

5. Plan for Re-entry: The treatment team even creates a plan to help children re-enter the classroom. The plan includes contingencies to help the student during anxious moments throughout the day.

6. Routine and Structure: Children who are anxious can even benefit from routines at home that are predictable. Establishing healthy sleeping habits and a regular sleep cycle during holidays and on weekends can yield positive results.

School Refusal - Symptoms, Causes & Treatments Of It!

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