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Advances in medical technology have made it possible to detect problems in the foetus and even treat them while still in the womb. But in India we still have a long way to go to make pregnancies safe and improve foetal health. This requires a motivated and combined effort from healthcare professionals, the government and the public.
Mr. and Mrs. R, a young couple expecting their first baby, went for a scan at 22 weeks. As the scan progressed they realised something was not quite right. They were told that baby had a valve that was obstructing the urinary passage; so urine was filling up in the bladder and dilating the ureters and causing pressure on the kidneys.
Mr S and his wife had just lost their first son. He had thalasemia and had required multiple transfusions. In this second pregnancy they wanted to know if this child had the same problem.
Lakshmi, the wife of a fruit vendor, had miscarried thrice earlier. This time too they were told that there is a significant problem and sent for specialised opinion. Tests and scan showed that she was Rh negative and that the foetus was anaemic since its blood cells were being destroyed by the mother's antibodies to Rh positive blood – what is called as Rh isoimmunisation.
W hen a couple discovers that they are going to have a baby it is most often an incredibly tender moment. A pregnancy is a period of happiness and expectation. There is something intangible that bonds not just the expectant parents but the entire family to this unborn child. So when sometimes things go wrong the impact on the whole family is immense. For the parents-to-be, their dreams are shattered.
Integral role
Advances in technology and medicine have made it possible to diagnose many abnormalities in the foetus while it is still within the womb. This helps pick up problems that are potentially treatable. At the same time one can detect lethal anomalies and facilitate early terminations when indicated. Indeed many conditions such as Rh isoimmunisation can be treated effectively by transfusions to the foetus while within the womb. Foetal medicine, therefore, plays an integral role in improving perinatal outcomes.
After detailed scan and counselling, Mr. and Mrs. R were offered a solution. A small tube could be placed under ultrasound guidance to allow the urine to flow out of the bladder, relieve the pressure on the kidney and prevent the backing up of urine. Once the baby was born a simple surgical procedure could be done to open up the valve. The shunt procedure went smoothly; the baby was delivered, treated post-delivery and is doing well now.
Mr. and Mrs. S were counselled and a chorionic villous sampling was done in which a small amount of tissue was taken under ultrasound guidance from the placenta. Genetic studies showed that this baby was only a carrier and not affected by the disease. The couple chose to go ahead with the pregnancy with the reassurance that the baby would be normal.
Lakshmi's baby was extremely anaemic and needed immediate treatment to prevent intrauterine demise. Within hours, the foetus underwent intrauterine transfusion to correct the anaemia. This procedure needed to be repeated three times, the pregnancy followed up and the baby delivered. Today the boy of 14 dreams of becoming a doctor. The couple had the joy of having a baby and got treatment that they could not afford completely free of cost. They therefore celebrate the day of his birth every year by coming to Mediscan Systems, the institution that gave them this baby.
On a larger perspective, one of the main challenges in maternal and child health in India is the very high perinatal and neonatal morbidity and mortality. A significant proportion of this arises from birth defects and potentially correctable and treatable problems. Having diagnosed problems and treating those that can be corrected, we are still left with many conditions where children survive with disability or require long-term treatment and management.
Many of the birth defects are preventable by simple interventions such as giving mothers folic acid and B 12 prior to pregnancy. Determining the prevalence of birth defects in our country and trying to understand the factors that cause these are absolutely essential. Only when we know what the problems are can we develop strategies and put programmess in place to prevent and minimise these birth defects.
In India, neural tube defects remain the most common birth defects with a prevalence of 24.8 / 10,000 births as noted from data collected over a period of nine years by the birth defects registry of India. This prevalence has not decreased in this period.
What we need to understand is that, especially in case of NTD, the damage is done before the woman realises she is pregnant. For instance, when the baby is forming and growing in the womb, the spinal cord and brain develop from a structure call the neural tube. This tube is formed and closes between 15-28 days of the pregnancy. Exposure to a teratogen before this time may cause a neural tube defect (NTD). After day 28, the neural tube is closed, and malformations of closure can no longer occur. Similarly, the oral structures and lips are formed by day 36.
Therefore if there is a problem that affects the development of these organs, the damage is done well before the woman even comes to a doctor to confirm her pregnancy. In some women, such as those who have epilepsy, those on anti epileptic medication and diabetics the risk of NTD is increased.
It is very well known that giving folic acid and B12 pre pregnancy helps prevent the occurrence of birth defects especially neural tube defects. Seventy per cent of NTD can be prevented by this pre-conception supplement. Therefore all women planning a pregnancy should have supplements of these two vitamins at least two months before conception.
This awareness should spread and increase and women should take the folic acid and B12 continuously until and through the first three months of pregnancy. This is the reason why it is advocated as an "engagement pill". Often despite being told, women discontinue after a few months if a pregnancy does not happen.
Women should also check if they are immune to Rubella (German measles) through a simple blood test. If not then they should ideally have the vaccine and defer pregnancy to three months later. This is another simple step often forgotten by women planning pregnancy. Those who have medical problems such as diabetes, hypertension, epilepsy and mood disorders should seek advice before planning a pregnancy. Optimising disease control and switching to relatively safe medications help prevent birth defects and safer pregnancies.
Support system
Prevention is the first aspect of reducing the burden of birth defects. Diagnosis of these problems within the womb and offering foetal therapy when possible is an important aspect of care. Despite the best of efforts, there will be children born with problems; some of which may correctable and some not. Support for this group of children and their families is a significant aspect of care that is lacking in most parts of our country.
It is with this three-pronged philosophy that The Foetal Care Research Foundation was born: preventive, curative and supportive care of the foetus. The three families mentioned earlier could have the specialised care only because of the complete support given to them by FCRF.
An attempt to understand the epidemiology of birth defects in our own country is a vital first step towards implementing preventive strategies and programmes.
It is for this that the birth defect registry of India was started in 2001. This is a pioneering effort of immense national importance. This registry has been analysing trends in birth defects distribution for the past nine years. This registry now functions in over 500 hospitals across the country, collects and collates data pertaining to birth defects. This registry has analysed 580,000 deliveries across India so far.
It is a point to note that the first and only functioning birth defect registry in India is a completely voluntary effort initiated by Dr. S. Suresh, Dr Indrani Suresh and Foetal Care Research Foundation. It consists of a group of personnel who help identify birth defects and perform detailed autopsy, histopathological, genetic and morphological studies. Obstetricians, pediatricians, neonatologists, sonologists, clinical geneticists and welfare workers have been encouraged to actively participate in this registry and help identify and understand birth defects. That such an extensive initiative has been initiated sustained and built by a couple of dedicated individuals in a private organisation should serve as role models for others.
In 2007, The Federation of Obstetric and Gynaelogical Societies of India (FOGSI) decided to join hands with BDRI and FOGSI-BDR was initiated with Dr. Suresh as the 'National Coordinator'. This initiative is expected to cover a large number of births to make the registry more effective
Having diagnosed problems and treating those that can be corrected, we are still left with a lot of conditions where the children survive with disability or requiring long-term treatment and management. For this group of children and their families, both in terms of guidance about the nature of treatment possible and support in providing that care is a huge need.
Making pregnancies safe and improving foetal health in a country such as ours with many issues and problems requires a motivated effort from the health professionals and the public besides the government.
Let us all join hands to strengthen the cause of the unborn baby and the mothers to be and make pregnancies safe and happy.
Care for every foetus
The Foetal Care Research Foundation (FCRF), a not-for-profit charity trust was established in 1993 with a vision and desire to offer access to the most advanced foetal care for every foetus. The aims of this foundation are:
To provide preventive, supportive and curative care for birth defects
To provide foetal care irrespective of the economic status of the parents
To evolve strategies to reduce birth defects in the country
The establishment of the Birth Defects Registry of India, the MPS support group and introducing new born screening are some of the key achievements of FCRF.
The MPS Support Group established in 2003 has been involved in Diagnosis confirmation; Rehabilitation – Yoga and Physiotherapy; Diagnosis at affordable cost; Cure and Support by which 139 families avail free-of-cost treatment. Annual multispeciality clinics give comprehensive and holistic care for these children. Dr Ashok Vellodi, an international expert in MPS along with a team of doctors from Chennai lead by Dr Sujatha Jagadeesh, conducts these clinics.
FCRF also introduced Newborn Screening (NBS) in 2005 in Chennai. Through a partnership between FCRF and the Tamil Nadu government, a task force was set up for birth defects prevention with FCRF in the lead. Over 1000 newborn babies were screened in the Govt. Women and Children Hospital, Egmore, free of cost. Subsequently as a principal investigator under the ICMR newborn metabolic screening task force, over 13,000 newborns have been screened and will continue till 2011.
Contact Fetal Care Research Foundatation, 197, Dr. Natesan Road, Mylapore, Chennai 04.
Ph: 044-24663150, 24663146. Fax: 04424988226
E-Mail: email@example.com
Website: http://mediscansystems.org/fcrf/fcrf_aboutus.asp
Keywords: Ultrasound, Obstetrics, Gynaecology, in-utero diagnosis, foetal anomalies


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We cheerfully provide Quotes and accept Purchase Orders from Schools, Government Agencies, Museums or other established business or government organizations. The procedure for obtaining a quote and ordering using a Purchase Order is exactly the same as any other purchase except that instead of giving us a credit card number, you click on the quote button that says: "I will Pay by Purchase Order or by Check" on the address page. (The picture (below) is what it looks like on that page.)
This will provide you with a pro-forma invoice (quote) showing the price and shipping costs. You can take this to the purchasing department to arrange your order by fax - or use yourself if you are the purchasing department. Simply print the quote, use it to construct a PO, and include it with your order.
You can also fax us a Purchase order ex cearulo. However, it must contain at a minimum the following information:
1. The correct shipping amount as calculated by the shopping cart on our web site.
2. The contact information (e-mail address, fax number, telephone number) of the accounts payable personage for invoices.
3. The e-mail address of the end user for safety information.
Please call us if you require a copy of our
Barclay Wood Toys and Blocks
207 N Main St., PO 819
Hebron, IN 46341
(877) 606-4374
(Fax) (877) 249-3624

subset: commoncrawl


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This mod adds a summonable companion to the game. That will assist the player in battle and can be equipped with different weapons.
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Rosell wants Liverpool striker Torres top of Barcelona shopping list
Barcelona have joined the battle for Liverpool striker Fernando Torres.
The Daily Mail says Chelsea and Manchester City had already expressed their desire to buy the £70million-rated Spaniard but now Sandro Rosell, the president-elect of Barcelona, has made contact with Torres's representatives and has been encouraged by the response.
Torres is reluctant to leave Liverpool but is concerned over speculation surrounding Rafa Benitez's future as manager and the club's transfer funding and ownership.
It leaves Liverpool vulnerable to offers for the 26-year-old. But one factor in Liverpool's favour is that current Barcelona president Joan Laporta plans to sign Valencia's David Villa for £35m before the end of next week and that would make it difficult for his rival, Rosell, to splash out on Torres.


text: Steve King Mowrer: I Will Not Apologize By Lindsey Moon, Rob Dillard & Clay Masters • Oct 3, 2014 Jim Mowrer for Congress Facebook Page Democratic congressional candidate Jim Mowrer says he will not apologize for or remove television ads his campaign is running against Republican Congressman Steve King. King: Mowrer Campaign Owes Me an Apology By Ben Kieffer & Lindsey Moon • Sep 29, 2014 Gage Skidmore / Wikimedia Commons Republican Congressman Steve King says Jim Mowrer, a Democrat and Iraq war veteran who is running against him to represent Iowa's Fourth District, owes him an apology. Politics Day: Shutdown and Debt Ceiling By Ben Kieffer & Katherine Perkins • Oct 9, 2013 John Sonderman Representative Steve King of Iowa's 4th Congressional district has come to the fore in the current debate over the Affordable Care Act and the partial government shutdown. Host Ben Kieffer talks with University Professor of Political Science at Iowa State University, Steffen Schmidt, and the Joan and Abbott Lipsky Professor of Political Science at Coe College, Bruce Nesmith about Congressman King and how far he and other Republican representatives are willing to go in pursuit of the end of Obamacare. Adaptations of Iowa's Republicans: Grassley and King By Ben Kieffer • Jan 29, 2013 Senator Chuck Grassley Official Website Newly re-elected chair of the Republican National Committee Reince Priebus says his party will have to adapt to "an era of permanent politics." Host Ben Kieffer talks with Iowa Senator Charles Grassley and Congressman Steve King of Iowa's 4th District.We ask about their stance on the Senate's bipartisan immigration reform as well as their goals as Republicans and as our elected representatives, at the start of President Obama's second presidential term. Citizens United Impact on Down Ticket Races By Clay Masters • Nov 5, 2012 Photo Illustration/Clay Masters After all the winners and losers of Election Day are decided many campaigns and strategists will look at what they did right or wrong. This year there's a whole new factor thrown into the election, the landmark Supreme Court ruling called Citizens United has changed the game for down ticket races. Why Campaigns Aren't Focusing on the Farm Bill By Amy Mayer • Oct 26, 2012 courtesy photo When Congress recessed for the election season without passing a new farm bill, many observers thought farmers would demand explanations as campaign trails blazed through small towns. In conjunction with Harvest Public Media, Iowa Public Radio's Amy Mayer has this look at how the farm bill is playing on the stump. King, Vilsack Tackle Social Issues in Carroll Debate By Clay Masters • Oct 26, 2012 Clay Masters / IPR Republican incumbent Steve King and his democratic challenger, Christie Vilsack squared off in a debate last night in Carroll for the newly drawn 4th congressional district. Polls show King with a slight lead over Vilsack. As Iowa Public Radio's Clay Masters reports, the two drew sharp contrasts. Bill Clinton tries to rally the Democratic base in Iowa By Sandhya Dirks • Oct 13, 2012 It's the final weeks of election season. And, as Iowa Public Radio's Sandhya Dirks reports democrats are calling on a familiar face to rally the base-- former President Bill Clinton. Basically, they brought out the big gun. Clinton was stumping for Congressional candidate Christie Vilsack, She's in a close race with Republican incumbent Steve King. At a rally in Sioux City, the crowd showed the former President a lot of love. King, Vilsack Square off in Hampton Debate Over Voter ID Laws By Clay Masters • Sep 18, 2012 Clay Masters / IPR Republican Steve King and Democratic challenger Christie Vilsack met in Hampton Monday night for another debate. It was the first time the incumbent met his opponent on ground that wasn't part of his old district. The two differed on just about every issue including controversial Iowa voter ID laws. King, Vilsack Meet for First Debate By Joyce Russell • Sep 7, 2012 The Democratic challenger in Iowa's new Fourth Congressional District, Iowa's former first lady Christie Vilsack, came out swinging in the first face-to-face debate of the campaign. Incumbent Republican Congressman Steve King was caught a little off guard. Romney rallies the base and the youth vote in Northwestern Iowa By Sandhya Dirks • Sep 7, 2012 AP Photos It's the day after the conventions—do you know where you candidate is? If you guessed Iowa, you would be right. While President Obama stops at the University of Iowa, Republican Nominee Mitt Romney stumped at Northwestern College – a private Christian school. As Iowa Public Radio's Sandhya Dirks reports, Romney rallied the Republican base and tried to woo the youth vote. At State Fair, Candidates Fight for 4th District By Clay Masters • Aug 17, 2012 Clay Masters / IPR One of the country's toughest congressional races is here in Iowa. It's between Steve King, a Republican incumbent and the state's former First Lady Christie Vilsack - a political newcomer. Iowa's losing a seat in the House after the election due to redistricting. Now ultra-conservative King is facing a more moderate electorate as he runs in the newly drawn 4th district.


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The National Longitudinal Study of Adolescent Health (Add Health) is a longitudinal study of a nationally representative sample of adolescents in grades 7-12 in the United States during the 1994-1995 school year. The Add Health cohort has been followed into young adulthood with four in-home interviews, the most recent in 2008, when the sample was aged 24-32. Add Health combines longitudinal survey data on respondents' social, economic, psychological, and physical well-being with contextual data on the family, neighborhood, community, school, friendships, peer groups, and romantic relationships, providing unique opportunities to study how social environments and behaviors in adolescence are linked to health and achievement outcomes in young adulthood. The fourth wave of interviews expanded the collection of biological data in Add Health to understand the social, behavioral, and biological linkages in health trajectories as the Add Health cohort ages through adulthood. The files contained in this component of the Add Health restricted data are the Wave I through Wave IV disposition files, and a file containing cause of death information for Add Health respondents reported deceased at Wave III (n=96) and Wave IV (n=126).
The cause of death information was obtained from the National Death Index (NDI), 2007, which is produced by the National Center for Health Statistics (NCHS). The NDI uses the World Health Organization's (WHO) International Classification of Disease (ICD) codes to identify causes of death. The NDI dataset contains 3 variables and has 227 observations. The dataset identifies cause of death, as well as the number of days between the respondent's Wave I interview and the 2007 NDI reported date of death.


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Flood Water Roller DerbyRead MoreEstablished: 2012 Staff Size: 2?10 people Average Duration of Services: 1?2 hours Brands Used: Cruz Skateshop, Reidel, KT-Tape, P90X, Nirvana Coconut Water Pro Tip: Come without preconceived ideas of your performance. You'll do much better without the pressure. Parking: Parking lot Recommended Age Group: Adults800 All America City Blvd.Roseville, CA US
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=== No. 3 Connecticut rolls past Cincinnati === Cincinnati, OH (Sports Network) - Stefanie Dolson scored 15 points to lead third-ranked Connecticut in a 67-31 rout of Cincinnati on Saturday. Breanna Stewart added 10 points and seven rebounds and Kaleena Mosqueda-Lewis had eight points and nine rebounds for the Huskies (18-1, 5-1 Big East), who have won six in a row since a 73-72 loss to Notre Dame on Jan. 5. Alyesha Lovett led all Cincinnati players with nine points and Dayeesha Hollins finished with seven points for the Bearcats (8-11, 0-6), losers in six straight. UConn outscored Cincinnati 41-9 over the first 20 minutes. The Huskies smothered the Bearcats defensively, holding them to just 12.5 percent (3- for-24) shooting from the field. 01/26 23:47:18 ET
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Kelly Ripa's Style Evolution
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Kelly Ripa's Style Evolution
Tags: Kelly, Kelly Ripa
Kelly Ripa's Style Evolution
Nothing says "vacation" quite like kicking back with an ice cold drink.
Mariah Carey has been struttin' her stuff everywhere lately!
Suit up!
We already know that the Cannes Film Festival brings some of the most incredible fashion statements of the year, but nothing beats the amfAR Cinema Against Aids Gala!