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Vatsalya Child Care

Jodhpur, Rajasthan

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Along with this he was member of editorial board in couple of books, author of a chapter in a book, conducted an original research on congenital malformation and toxoplasmosis.
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Toilet Training

Toilet Training

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Otitis Media

Otitis Media

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Discipline

Discipline

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Toilet Training

Toilet Training

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Toilet training is an important step in your child’s development. Children are ready for toilet training at different times. The key to success is waiting until your child is ready, setting up regular toilet times, and praising your child when his or her efforts succeed. Talk to your doctor if you have questions or concerns about toilet training. When should toilet training start?No single approach to toilet training is right for everychild. The keys are to establish a regular toilet routine and to be patient! 1.     Choose a potty chair. Having their own potty chair ismore comfortable for children. A potty chair also letsyour child’s feet touch the floor, which is reassuring. 2.     Having the child watch parents or siblings go to the bathroomcan be helpful. 3.     Praise your child’s efforts at potty training, even if he orshe tells you they already went. Don’t be negative orangry if your child has occasional “accidents”—theyare a normal part of toilet training. If accidents are happeninga lot, it may mean that your child isn’t ready for toilet training           4.     If your child says or shows signs that he or she needs togo to the bathroom, then take him or her to the pottychair. Boys usually learn to urinate sitting down at first. 5.     Your child should sit on the potty for a few minutes,whether he or she goes or not. Schedule potty trips beforeand after naps, after meals—every couple of hours. 6.     Keep the mood positive and light. If your child insists onnot sitting on the potty, don’t force the issue. This maymean that he or she isn’t ready. 7.     Teach your child how to wipe with toilet paper. Girlsshould wipe from front to back to avoid spreading stool(BM) to the vagina. Teach your child to wash and dryhis or her hands after using the potty. 8.     When your child is getting the idea, try switching totraining pants. These are special underpants that act likediapers in case of accidents. 9.     Some children are afraid of flushing the toilet. Give yourchild some time to get used to the idea of moving from a potty seat to the big     toilet.                                                                         10. Toilet training can take weeks or even months. As always,be patient; even in the most difficult cases, toilettraining happens eventually! What kinds of problems can occur?11. Temporary setbacks or “accidents” are a normal part of toilet training. If the parent is patient and accepting, they gradually become less frequent. 12. Frequent accidents (wetting or soiling) may mean that your child isn’t yet ready for toilet training. If this happens, it’s OK to go back to diapers for a little while. Try again when your child shows more signs of13. Readiness. 14. Another possible problem is constipation—difficult oruncomfortable BMs. Call our office if this occurs.

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Otitis Media

Otitis Media

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How do we hear?The ear consists of three major parts: the outer ear, the middle ear and the inner ear. The outer ear includes the pinna (the visible part of the ear) and the ear canal. The outer ear extends to the tympanic membrane (eardrum), which separates the outer ear from the middle ear. The middle ear is an air-filled space located behind the eardrum. It contains 3 tiny bones, the malleus, incus and stapes, which transmit sound from the middle ear to the inner ear. The middle ear is connected to the back of the nose and upper throat by the Eustachian tube. This tube ventilates the ear and equalizes the air pressure in the middle ear to the outside air pressure. The inner ear contains the hearing (cochlea) and balance (labyrinth) organs. The auditory nerve connects the cochlea to the brain.In a healthy ear, sound waves striking the eardrum send vibrations through the 3 tiny bones in the middle ear. Movement of these bones transmits sound waves across the middle ear to the cochlea of the inner ear. In the cochlea, sound is transformed into nerve impulses that travel to the brain. In this manner, sound is perceived.

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Discipline

Discipline

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Effective discipline is based on a positive, supportive relationship between parents and children. Strategies based on praising and rewarding desired behaviors and removing privileges are generally better than strategies based on punishment. For young children, “time-outs” are a useful strategy. Most pediatricians don’t recommend spanking because other approaches seem to work better.How should I discipline my children?
There’s no “right” way to discipline children; every family must find an approach that works for them. However, some key concepts can help you develop an effective approach to teaching children proper behavior. The approach to discipline should be consistent for all children in your family, with limits set and enforced for all. Both parents, as well as other care providers, should be consistent in disciplining children. It’s important to consider your child’s developmental level in setting expectations and responding to behavior problems. For example, it would be normal for a oneyear- old to play with the family stereo, possibly causing damage. An appropriate response would be to distract the child and put the stereo out of reach. The family atmosphere should be a safe, loving, and supportive one for your child. It is also very important for parents to be good role models. Show the kind of behavior you would like your child to follow—children learn from their parents!What are the principles of discipline?
“Positive reinforcement” means praising and rewarding desired behaviors. This is more effective than “negative reinforcement”— yelling or punishment for undesired behaviors. When punishment is necessary, “time-outs” are a good tool to use with young children. By age 5, children are old enough to understand the consequences of their behavior. Strategies based on removing privileges are recommended for this age group. Time-outs. For toddlers and preschoolers, the idea behind time-outs is to remove the child from playtime or other desired activities as a direct consequence of undesired behavior. Tell your child you are giving him or her a time-out. During the time-out, your child must sit by himself or herself away from play or other activities. Especially for toddlers, the time-out should happen immediately after the undesired behavior. Two-yearolds can’t make the connection between misbehaving earlier in the day and the time-out they are getting later. Time-outs shouldn’t last too long: 1 minute per year of age is a good guideline. Stay calm and don’t argue or bargain with your child. Time-outs only work when they are used consistently. If you are just starting to use time-outs, at first your toddler may respond by having a tantrum. When tantrums happen, ignore them if possible, and remove the child from the situation if necessary. Don’t give in to tantrums, or you will reinforce that behavior. Your child will learn that he will get what he wants eventually. Parents who stick with it usually find time-outs effective in reducing undesired behaviors. Removing privileges. After age 4 or 5, children are old enough to understand why they are being disciplined. Taking away some privilege or activity that your child really wants provides consequences for misbehavior. For younger children, this may mean taking away TV or video game privileges. Older children may be “grounded” (not allowed to go out with friends). Teens may have their driving privileges taken away. Be clear, direct, and consistent each time the undesired behavior occurs. Be calm when discussing the misbehavior with your child. If you can’t stay calm, it may be best to discuss the problem later.
What discipline strategies are less effective?
Negative verbal statements. If used infrequently, negative verbal statements can be helpful in pointing out misbehavior.

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Blocked Tear Duct
Many babies are born with blocked tear ducts. You may notice tears overflowing down your child’s cheeks, or thicker material draining from the eye. Infections may occur in and around the blocked tear duct. A simple, nonsurgical treatment usually solves the problem.What is blocked tear duct?The tear ducts are tiny openings in the corner of the eye that let tears flow out of the eye. As many as 6% of babies are born with blocked tear ducts. Because tears can’t flow normally, they build up and overflow out of the eye. Tears help keep the eyes free of bacteria and debris, so blocked tear ducts can lead to infections in and around the lacrimal glands (tear glands) and ducts. Inflammation (redness, irritation) of the area around the eye can also occur. In many babies, blocked tear ducts eventually open up on their own, with no need for treatment. We may recommend frequent, gentle massage of the area to help the duct open up sooner. If the blockage doesn’t clear by about age 12 months or if your child has frequent infections, a simple procedure can be done to unblock the tear duct.What does it look like?You may see excessive tears coming from your child’s eyes, even when he or she isn’t crying. You may not notice the problem until your child is a few weeks old.You may notice thicker material, consisting of mucus or even pus, coming from your child’s eyes—this may be a sign of minor infection.If the blockage is only partial, you may see overflow only when the eye is producing a lot of tears; for example, when your child is exposed to cold, wind, or sunlight. If the blockage is more complete, tears may leak out of your child’s eye constantly.Tears and other discharge may make the skin around the eye red and irritated. This may be a sign of mild infection. If the infection gets more severe, the area aroundthe inner corner of the eye may become swollen and tender. Other symptoms of more severe infection include fever and fussiness.What causes blocked tear ducts?Many infants are born with blocked tear ducts. They can also occur in older children (and adults), occasionally after an eye infection.
What are some possible complications of blocked tear ducts?
Blocked tear ducts increase the risk of infection. However, ost of these infections are mild and easily treated.
What puts your child at risk of blocked tear ducts?
In babies, blocked tear ducts are a common problem that is usually not preventable.
How are blocked tear ducts treated?
We may recommend frequent, gentle massage to unblock the tear ducts. Gently massage the area around the blocked duct two or three times per day, as instructedby your doctor. Make sure to wash your hands before touching the area around your baby’s eyes. After you’re done, wash the area with warm water. Don’t use soapbecause it could irritate the eyes.
If the blockage doesn’t clear up by age 12 months or if frequent infections are a problem, we may recommend a visit to an eye specialist (ophthalmologist). He or she may perform a simple procedure called probing.
The doctor gently inserts a tiny tube (called a catheter) into the blocked duct. This almost always opens up the blockage.
Babies are usually given anesthesia so that they will be asleep during the probing procedure. In older children, it can be done without anesthesia.
If the eye is infected, your child will need antibiotic eyedrops. Treatment usually continues for 5 to 7 days, depending on how quickly the infection clears. For more severe infections, oral  may be recommended.When should I call your office?Call our office if:Your child still has symptoms of blocked tear ducts (overflowing tears) by age 12 months.Your child has thicker material (mucus or pus) draining from the eye.

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Thumb Sucking

Thumb Sucking

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Most habits are behaviors your child has developed as a way of dealing with stress. Some habits can have harmful effects; for example, thumb sucking can lead to problems with your child’s teeth. Generally, the best thing to do about habits is ignore them. Rather than criticizing your child’s habit, praise him or her for substituting other behaviors.What are childhood habits?Parents are often concerned about their children’s habits, such as thumb sucking, nail biting, hair pulling, and others. Children sometimes seem to develop habits as a way of dealing with stress. At other times, they learn habits by imitating adults.Most childhood habits are harmless. Some habits can cause physical harm, for example, possible dental problems caused by thumb sucking or tooth grinding. Other habits can be socially embarrassing or annoying. In general, it’s best not to pay too much attention to your child’s habit or to nag him or her about it. Children generally outgrow habits or learn to control them, especially in social situations. Less often, habits such as head banging or hair pulling can cause pain or injury to children. These habits may develop in children who have been abused or neglected or in children with mental retardation or other forms of developmental delay. Habits are different from tics, which are repeated, involuntary movements such as facial twisting or eye blinking. Any habit that is causing physical harm or interfering with your child’s life in any way should be evaluated by a doctor.What do they look like?Many kinds of habits may develop.Thumb sucking is normal in infants and toddlers but may cause problems with tooth development in some children if it is prolonged.Tooth grinding, especially at night (bruxism). This may cause some dental problems.Rocking: children may rock back and forth, often when put to bed or alone.Head banging sometimes hard enough to raise fears of the child’s injury to himself or herself.Nail biting.Hair twirling.Hair pulling sometimes severe enough to leave bald spots (trichotillomania).How are childhood habits managed?
General issues. Usually, no treatment is necessary. Most childhood habits go away on their own, generally within a few weeks or months.
Try not to pay too much attention to your child’s habit. Calling attention to or commenting on habits may actually reinforce them.Praise substitute behaviors. Give your child alternatives to the habit. For example, if you see your child biting her nails, say, “Let’s take out the crayons and color.” Don’t comment on the nail biting at all.Try to reduce stress in your child’s life, especially if there is any stressful situation that may be contributing to the habit. Thumb sucking and tooth grinding. If they are severe and persistent, these habits can cause dental problems. In some children, special methods may be needed to stop them.Thumb sucking is normal in infants and toddlers. However, if the habit continues, it may interfere with the way your child’s teeth come in. The best way to deal with thumb sucking is to praise your child when he or she isn’t sucking his or her thumb or is keeping busy with other activities (like coloring or playing).In the past, putting bitter substances on the fingers was recommended as a way of “breaking the habit” of thumb sucking. It’s not clear how well this works, so it’s usually not recommended at first. If all else fails and the habit needs to be stopped, the doctor may suggest trying this approach.Tooth grinding may be related to anxiety. It may help to work with your child to find other ways of reducing anxiety. If the habit continues, we may recommend 

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Bronchiolitis

Bronchiolitis

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Bronchiolitis is caused by infection and inflammation of the small airways in the lungs. It is very common in infants and toddlers and occurs most often in winter. Bronchiolitis can be a frightening illness and sometimes can become severe enough to require hospitalization of your child. Most children with bronchiolitis recover completely.What is bronchiolitis? Bronchiolitis is infection and inflammation (swelling and blocking) of the very smallest breathing tubes in your child’s lungs, called the bronchioles. It is caused by infection with a virus, most often the very common respiratory syncytial virus (RSV). As the small airways become narrowed or blocked, you may hear wheezing (high-pitched sounds coming from the lungs) as your child breathes. If bronchiolitis becomes severe, your child may have difficulty getting enough air. If this happens, he or she may need to be admitted to the hospital for oxygen and other treatments.What does it look like?Bronchiolitis starts off with the symptoms of a typical cold, with sneezing and a runny nose. Your child may recently have been exposed to an older child with a cold. He or she may also have a fever. After a few days, your child may develop more severe breathing-related problems, such as:Coughing or wheezing (high-pitched sounds coming from the chest, especially when your child is breathing out).Shortness of breath (as if your infant is having trouble getting enough air).Fast breathing, which may make it difficult for your infant to nurse or feed.Dehydration (not drinking enough fluid), which may result from feeding difficulties. Symptoms of dehydration include:Decreased urination.Dryness inside the mouth.Agitation or irritability may be a sign that your child is not getting enough oxygen. Get medical help as soon as possible.More severe signs of difficulty breathing (respiratory distress). Take your child to the emergency room immediately if any of the following symptoms occur Chest caves in, ribs stick out, belly goes up and down, and nostrils flare (called retractions).Skin turns blue (called cyanosis). This is an emergency What causes bronchiolitis Bronchiolitis in infants is caused by viruses, most commonly RSV. Nearly all infants have been exposed to RSV by age 2. In older children and adults, RSV usually causes a cold. Only in infants and toddlers does the infection get into the small breathing tubes, causing bronchiolitis.Bronchiolitis is not caused by infection with bacteria, so antibiotic treatment probably won’t be prescribed.  may be recommended if your doctor suspects that a bacterial infection is present in addition to bronchiolitis.What puts your child at risk of bronchiolitis?
Bronchiolitis usually occurs in infants under 2 years of age. Severe bronchiolitis requiring hospitalization is more likely in infants under 6 months old.It often occurs after exposure of your infant to older children with colds.It mainly occurs during “cold season,” that is, late fall and winter.Premature infants and those with other lung diseases are more likely to develop severe bronchiolitis.Can bronchiolitis be prevented?The best prevention for bronchiolitis is taking whatever steps you can to avoid spreading colds. Avoid exposing your infant to older children with colds if possible. Wash your hands frequently, especially during cold season.Premature infants and those with certain lung diseases may be treated with infection-fighting bodies called immunoglobulins to prevent RSV disease.What are some possible complications of bronchiolitis?
Even when bronchiolitis is severe enough to require hospitalization, most children recover completely. However, it may take a couple of weeks before all of your child’s symptoms clear.Rarely,

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Hives

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Hives (urticaria and angioedema) are a common and uncomfortable skin reaction. They are usually caused by viruses or allergies, but many othercauses are possible. Hives usually improve with simple treatments. If hives last for several weeks,they may be a sign of another disease. What are hives?Hives are raised bumps or welts that appear on the skin or lips and mouth. They range in size from pinpoint toinches and are usually itchy. Hives are also called urticaria.what causes hives?Hives are caused by the release in the skin of a substance called histamine—the same substance responsible for many allergic reactions. They are often caused by allergens, but many other causes are possible.Angioedema is larger areas of swelling—for example, of the lips or hands. Hives usually appear suddenly. They may swell and join together, forming large, red, swollen areas. Because they appear and grow so quickly, hives can be frightening for you and your child.Although they may be a sign of a serious reaction, hives usually disappear within a few hours or days. What do they look like? Hives first appear as small, raised bumps or welts. They may occur suddenly and can be very itchy  Hives can occur anywhere on the skin or all over thebody. Hives may swell, forming large pink or red areas. The wheals may then join together to form even larger areas called angioedema. Hives and angioedema may change shape, disappear, and reappear unpredictably. These changes can occur in a matter of minutes or hours.   Hives can appear anywhere on the body. The face,tongue, hands, feet,andgenital area are most commonly affected.   What causes hives?There are many possible causes of hives. The most common are:Allergic or other types of reactions.These may becaused by drugs, foods, pets, bee stings, or anythingelse your child is allergic to.Infection with a virus or bacteria.   Sometimes hives are a sign of another disease.Or they may result from physical causes, such as exposure to cold, pressure, sunlight, or even water. However, these other causes are rare, especially in children.  Often, no specific cause of hives is identified. What are some possible complications of hives? Hives can be a warning sign of a serious allergic reaction.  _ Rarely, hives do not go away on their own or with simple treatments. If hives last for several weeks, further tests may be performed to try to identify the cause.Can hives be prevented?  _ If your child is allergic—for example, to foods or pets—avoiding those allergens will help to reduce the risk of hives. _ In the rare cases in which hives result from physical causes—such as cold or sunlight—avoiding those causes will reduce the risk of hives. _ Otherwise, hives are a common but unpredictable problem. How are hives treated?For most common causes of hives in children, only simple treatments are needed. Even without treatment, the hives may go away on their own.

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Heart murmurs are an extra sound the heart makes when pumping blood. By far, most heart murmurs are innocent, meaning there is noheart disease present.However, some heart murmurs are pathological, meaning they are a sign  of disease.If the doctor has any reason to suspect  a pathological heart murmur, further testing will  be done.What are heart murmurs?A heart murmur does not necessarily mean that your Child has heart disease!It’s the medical term for a type of extra sound made by the heart.The heart has four chambers through which blood flows. The chambers are connected by valves. Heart sounds are caused by opening and closing of the valves and movement of blood through the heart chambers. Heart murmurs are the sound of blood flowing through the chambers or out from the heart. Most murmurs sound like a hum or like water rushing through a hose.Heart murmurs are commonly found in children during regular checkups, most often between the ages of 3 and 7 year.By far, most heart murmurs are “innocent”—not a sign of heart disease. Temporary conditions affecting your child’s heartbeat may increase the likelihood of an innocent murmur, for example, if your child is sick (such as with a fever) or anxious. Other heart murmurs, known as “pathological”  murmurs,are an important sign of heart disease. If the doctor has any reason to  suspect a pathological heart murmur, your child will be sent for further tests.How are heart murmursdiagnosed?_ In many cases, the doctor can be pretty sure a heart murmur is innocent just by listening to it with a stethoscope (an instrument that amplifies the heart sounds). If the doctor diagnoses an innocent heart murmur, no testing is needed, and there is no increased risk of future heartproblems.If there is any reason for concern, the doctor may arrange for further tests,  ----such as an electrocardiogram (ECG),which measures the electrical activity during your child’s heartbeat;an echocardiogram (“echo”), which uses sound waves to take pictures of your child’s heart while it is beating;or chest x-rays.We may also recommend a visit to a heart specialist (a cardiologist).  We are more likely to recommend further evaluation in infants, or if your child has any other symptoms of heart disease, for example, slow growth or blue color of the skin (cyanosis),recurrent pneumonia,difficulty in breathing or heart failure.

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Croup

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Croup is a respiratory infection with symptomsof a “barking” cough, hoarseness, and, at times,some difficulty in breathing. The child usuallyimproves after a few days of home treatment,but may need to see a doctor if the symptomsare severe enough. What is croup? Croup is a respiratory infection involving the voice area(larynx) and windpipe (trachea). It is usually caused by avirus, including some of the same viruses that cause a cold.Croup usually occurs in younger children—about age 4 orless. It can be scary because of the sound of the “barking”cough, one of the main symptoms. Although most childrenrecover in a few days, often there is some difficulty breathing.The medical term for croup is laryngotracheitis. What does croup look like? _ Your child may have symptoms of a cold (runny nose,sore throat, or cough) for a few days before the typicalsymptoms begin._ A “barking” cough is the most common symptom._ It usually involves hoarseness._ ! A harsh sound when breathing in is common. This iscalled stridor. This stridor can be mild or severe andcause difficulty breathing._ If there is a lot of difficulty breathing, the ribs maystick out and the chest may get sucked in with eachbreath. This type of breathing is called retraction.Retractions can also occur where the neck meets thecollar bones.

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Chickungunya

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What is chikungunya fever? Chikungunya fever is a viral disease transmitted to
humans by the bite of infected Aedes mosquitoes.
 
What type of illness does chikungunya virus cause?
 This infection can cause a debilitating illness, most often characterized by fever, headache, fatigue, nausea,
vomiting, muscle pain, rash, and joint pain.
 
The incubation period (time from infection to illness) can be 2-12 days, but is
usually 3-7 days.
Acute chikungunya fever typically lasts a few days to a couple of weeks, but as
with dengue, some patients have prolonged fatigue lasting several weeks.
 
Additionally, some patients have reported incapacitating joint pain, or arthritis
which may last for weeks or months.
 
How do humans become infected with chikungunya virus?
 Chikungunya fever is spread by the bite of an infected Aedes mosquito.
 
How is chikungunya virus infection treated?
 No vaccine or specific antiviral treatment for chikungunya fever is available.
 
 Treatment is symptomatic—
rest, fluids, and ibuprofen, naproxen, acetaminophen, or paracetamol may relieve
symptoms of fever and aching.
or Dispirin should be avoided during the acute stages of the illness.

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Malaria

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What is it?
Caused by a parasite “Plasmodium”, this disease is spread by bite of Anopheles mosquitoes that usually breed in clean water around our homes.
• Symptoms :
High Fever, headache, fatigue, nausea, vomiting, body pains. If malaria affects brain )”cerebral Malaria”), the person becomes drowsy, loses consciousness
and gets convulsions. Cerebral Malaria can cause death if not treated on time.
• Treatment :
Please get a blood slide made and take treatment from a doctor. Keep the fever down by giving paracetamol. Drink lots of fluids.
• Prevention:
Prevent mosquito breeding and mosquito bites. Please see previous pages for these tips

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Play Therapy

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TOY LIBRARY ,JODHPURPhysical Benefits:• Motor skills.• Healthy bones, muscles, joints, heart and lungs.• Coordination, movement control, fitness, strength and flexibility.• Improves sleep• Reduce risk of constipation.• Achieve and maintain a healthy body weight. Other benefits of physical activities• Improves concentration.• Attentiveness.• Healthy body weight.• Coordination.• Social development.• Healthy heart, lungs.Social benefits• Psychological benefits. Social development.• More likely to adopt other healthy behaviours.• Improves sleep.• Tendency towards achieving higher academic performance.• Opportunity for parents and children to interact and spend quality time together. Current Physical Activity Recommendations for Children 5-12 years old• Children need at least 60 minutes (and up to several hours) of moderate to vigorous - intensity physical activity every day.• Children should not spend more than two hours a day using electronic media for entertainment (e.g. computer games, TV, internet), particularly during daylight hours.Source: Department of Health and Ageing (2004) Points to consider about children• Children will respond better if the activities are fun.• All children develop and learn at their own rate.• Children are developing their independence.• Children learn by watching and then doing (role modelling).• Children need time for active play.• Children with movement difficulty often require longer to learn a skill and may need more time to practise.• Some difficulties will disappear with maturity, some will not. What can parents do to help?• Be enthusiastic and create a fun learning environment.• Let your child suggest games and activities.• Join in as much as possible.• Let your child go at their own pace.• Be familiar with FMS – so you can encourage practise and provide feedback.• Provide positive and specific information on how to perform the skill.• Focus on one component of a skill at a time.• Be patient! Encourage children to be as independent as possible and resist the temptation to get things done quickly (e.g. tying shoelaces).• Allow time for repetition.• Praise your child when they do well.• Keep explanations brief, maximise ‘doing’ time.• Provide opportunities for new experiences and challenges.• Teach children that it is ok to make mistakes and with practisethey will learn the skills.• Promote strengths as well as assisting with difficulties.• If your child is having difficulties with FMS, speak to their teacher or appropriate person (e.g. school health nurse, GP). Electronic Media (Screen time)• Research shows that the risk of overweight and obesity increases with the time children spend watching TV, playing video games and surfing the internet for entertainment. Why?- Less time to participate in physical activity.- More exposure to junk food advertising.- TV viewing encourages frequent snacking.• Children should not spend more than two hours a day using electronic media for entertainment, particularly during daylight hours.

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Sinusitis Treatment Service
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Morning:  One Glass mIlk + 2 tsp PP. (with or without breakfast) + dry fruits( almonds +walnuts (5-7)
 
Breakfast:   Poha/Daliya/Upma ( one quarter plate)    / sandwich( potato s/cottage cheese/cheese)1-2/              Parantha 1-2(plain/stuffed ) / rawa idils(2)/      cornflakes/muesli ( I bowl)    / 2 eggs with 2 toast
One fruit ( seasonal)
 
Mid day: A fruit ( any seasonal)/Juice 1 glass
 
Lunch:   Salad( 1 bowl) any seasonal
             chapaties 2-3 ( multigrain/wheat mixed with soya)/Rice
              Dal (one Bowl)/Cottage cheese(25 grams)/Non Veg( one bowl)/egg preparation 1-2
             Green leafy vegetable( 1 bowl)
             Curd(1 bowl)/Raita 1 Bowl/Buttermilk 1-2 glasses
 
 
Evening time:  one glass milk + 2tsp PP  with 1 snack
 
Dinner:  1 cup soup
             Chappaties 2-3  /Mix vegetable Pulao   /Khichadi/ Vegatbale Porrridge ( 1 quarter plate)/ Idlis 3-   4,/Dosa 1
              Dal /Non Veg   Preparation ( one bowl
             Other vegetables(seasonal)
 
Bed time: one cup milk/desert (optional)

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Along with this he was member of editorial board in couple of books, author of a chapter in a book, conducted an original research on congenital malformation and toxoplasmosis.

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Nature of Business

Service Provider

Total Number of Employees

Upto 10 People

Legal Status of Firm

Sole Proprietorship (Individual)

Annual Turnover

Upto Rs. 50 Lakh
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