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CEREBRAL PALSY


It is a non progressive neuromuscular disorder causing mild to severe disabilities throughout life.This condition is manifested as a group of persisting qualitative motor disorders which appear in young children due to damage to the brain during delivery or due to some pathological conditions in the intrauterine life.The neuroligical problems are multiple but non progressive in nature.Approximately 2 per 100 live birth is having this problem.This disease is having no hereditary tendency.

Causes of cerebral palsy:

1) Injury to the brain during delivery.

2) As a complication of forceps delivery.

3) Lack of oxygen supply to the baby during delivery.

4) Infections during delivery.

Signs and symptoms of cerebral palsy:--

The signs and symptoms may not be similar in all babies affected.Depending upon the damage to the brain there may be mild to severe lesions.

Mild cases:- 20% children will have mild disability.

Moderate cases:-50% cases are having moderate disability.The affected children require self help for assisting their impaired ambulation capacity.

Severe cases:-About 30% of the affected children are totally incapacited and bedridden and they allways need care from others.

Abnormal findings in cerebral palsy:-

1,Abnormal neonatal reflexes.

2,Stiffness of all muscles with awkward motion.
3,Extention of extremities on vertical suspension of the infant.

4,Scissoring of the lower limbs due to spasm of the adductor muscles of the thigh.

5,In severe cases the back bend backwards like and arch.

6,May have total or partial paralysis.

7,Arrest of neurological and behavioral developement.

8,Swallowing may be difficult in some cases.

9,Drooling of saliva.

10,Mild to severe mental retardations.

11,Abnormal movements are seen in some cases.

12,Tremors with typical movements.

13,If cerebellum is affected there will be loss of muscle tone with difficulty in walking.

14,Complete or partial loss of hearing.

15,Speech may be affected.

16,Squint and other visual problems may be associated.

17,Convulsions may be seen in some children.

Cerebral palsy is diagnosed by detailed clinical examination and by eliminating other similar diseases like brain tumour, progressive atrophy ect.All investigations like CT scan,MRI and routine investigations are needed to ruleout other diseases.

Management of carebral palsy:--

General management:

This includes proper nutrition and personal care.  Symptomatic medicines are needed to reduce convulsions and muscle stiffness.  Diazepam can reduce spasticity and athetosis.
Dantrolene sodium helps to relax skeletal muscles.

Physiotherapy:

Here massage,exercise, hydrotherapy and ect are needed.Special training is given to train walking,swallowing and talking.The affected children are also trained to hold articles for routine activities.

Rehabilitation:

Moral and social support should be given to these children.They should be send to special schools where special training can be given by trained staff.Mentally retarded children need special training.Depending up on the disabitity special instruments and machines are given for locomotion and to assist their daytoday activities.

Occupational therapy:

This is given by occupational therapists.They train the disabled people to do some suitable works so that these people can have their own income.

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Wish For Bangladesh

Wish For Bangladesh

Bangladesh Informations

Bangladesh emerged as an independent and sovereign country in 1971 following a ninemonth war of liberation. It is one of the largest deltas of the world with a total area of 147,570 sq. km. With a unique communal harmony, Bangladesh has a population of about 142 million, making it one of the densely populated countries of the world. The majority (about 88%) of the people are Muslim. Over 98% of the people speak in Bangla. English, however, is widely spoken. The country is covered with a network of rivers and canals forming a maze of interconnecting channels.
Bangladesh has a glorious history and rich heritage. Once it was known as ‘Sonar Bangla’ or the Golden Bengal. The territory now constituting Bangladesh was under the Muslim rule for over five and a half centuries from 1201 to 1757 AD. Subsequently, it came under the British rule following the defeat of the sovereign ruler, Nawab Sirajuddaula, at the battle of Palassey on 23 June, 1757. The British ruled over the Indian sub-continent including this territory for nearly 190 years from 1757 to 1947. During that period, Bangladesh was a part of the British Indian provinces of Bengal and Assam. With the termination of British rule in August 1947, the sub-continent was partitioned into India and Pakistan. Bangladesh formed a part of Pakistan and was called ‘East Pakistan’. It remained so for about 24 years from August 14, 1947 to March 25, 1971. Bangladesh liberated on December 16, 1971 following the victory of the War of Liberation and appeared on the world map as an independent and sovereign country.The country is the pioneer in micro-credit concept for poverty reduction, which brought the Nobel Prize in Peace for the country in 2006. The founder of world reputed Grameen Bank Professor Dr. Muhammad Yunus is the Nobel laureate.

The Natural Beauty Of Bangladesh

Have you thought of a dream holiday where you see yourself on that very attractive magical coastline with very beautiful features like those in the fairy tales? Did you know that such features really exist on this very planet?

Talking of wonderful eye-catching sites let us take a trip to the North Eastern part of south Asia and land safely in one of the most beautiful countries on the planet: Bangladesh. The country is surrounded by some of the most prominent geographical features studied worldwide. To the north of Bangladesh are the famous Himalayas while the bay of the Bengal borders her from the South. To her East is the hilly region of Tripura, India and Myanmar. Finally to her West lies the west Bengal. Together these features form a low lying plain in between that is the country in their midst; Bangladesh.

The plain between all these features has plenty of rivers flowing across it forming a nice natural beautiful pattern of rivers and streams network. Padma, Meghna, Kamafull and Brahmaputra are the major rivers in this very beautiful land.

History goes hand in hand with the Natural Beauty of Bangladesh. Talking of historical sites she has quite a number of rich archeological sites to offer. This includes the Paharpur, Maianamati, Sonargaon among many others.

It also has a historical mosques and monuments. The sixty Dome mosque built in the 15th century is the largest historical in Bangladesh as well as the words heritage is situated in Bagerhat. It is also upheld for an outstanding architectural value. However, the Shait Gombuj mosque is the most magnificent and the largest brick mosque surviving in the country.

Bangladesh is not just named a natural beauty for nothing this is a title that it has fought for through its great and eye catching extraordinary features. She happens to be the home to the world's longest natural beach in the whole world. The land is mainly covered by plant cover as most of the people practice Agriculture.

Apart from the natural beauty of Bangladesh brought forth by the flora in the country, the country also has a great deal of wildlife. She is the home of the dhole; the most endangered Asiatic top predator that is on the edge of extinction. It also has the Asian elephant which is the largest mammal. Finally she has the Bengal tiger which is the national animal of the country. The next time you thinking of spending time in a beautiful place where you will be able to watch and appreciate nature's beauty, think of Bangladesh.