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On the off chance that you've been as of late protected from sleepwalking, here's a conceivable motivation behind why you went zombie — absence of rest.

Sleepwalkers should keep a standard sleep time to maintain a strategic distance from undesirable night walks, said Antonio Zadra of the College de Montreal, who drove a group that as of late researched the connection between rest misfortune and sleepwalking. Insomnia, which influences up to 4 percent of grown-ups, can cause mental perplexity, episodes of amnesia and even physical wounds in those influenced as they meander.

Sleepwalking is normal in children, yet more often than not they exceed it, says Dr. Vishesh Kapur, chief of the College of Washington Rest Issue Center at Harborview Medicinal Center.



In the February 2008 issue of the diary Records of Nervous system science, Zadra, Mathieu Pilon and Jacques Montplaisir clarify how they assessed 40 presumed sleepwalkers. Every wa alluded to the Rest Exploration Center at Sacré-Coeur Emergency clinic, a Université de Montréal showing medical clinic, between August 2003 and Walk 2007.

"Our investigation found that lack of sleep can hasten sleepwalking in inclined people," Zadra said.

Zzzzzzzzzz...

Subjects who participated in the examination consented to have their benchmark rest designs observed amid an underlying throughout the night evaluation. Amid a resulting visit, patients were kept alert for the whole night and stayed under steady supervision.



Recuperation rest was permitted the following morning after patients had been conscious for 25 hours. Subjects were recorded amid each rest period as the exploration group assessed their conduct, which ran from playing with bed sheets to attempting to bounce over the bed rails. Subjects were assessed on a three-point scale dependent on the intricacy of their activities.

Amid benchmark rest, just 50% of patients showed around 32 of these practices. Amid recuperation rest, that figure rose to 90 percent. The exploration was bolstered by the Canadian Establishments of Wellbeing Exploration.

Sleepwalking is "a confusion of excitement, a sort of blended condition of being," Kapur said. There are three conditions of being in the realm of rest scientists — alertness, non-REM (quick eye development) rest and REM rest (most connected with dreams). Sleepwalking is a blend of attentiveness and non-REM rest, he said.

Some kind of excitement or interruption to rest can likewise trigger sleepwalking, Kapur said. So individuals with rest apnea (an interference of breathing — wheezing is normally brought about by apnea) now and then sleepwalk, in light of the fact that apnea can make a state where somebody is in the middle of non-REM rest and attentiveness.

Qualities to jammies

Family hereditary qualities can likewise incline one to sleepwalking, Kapur stated, however a great deal is as yet obscure regarding why a few people sleepwalk and others don't.

[ Wake Up! The Genuine Realities on Sleepwalking (Infographic)]

"We realize that sleepwalking happens more frequently in kids than in grown-ups, and the inclining factor there may be the way that kids have much more of moderate wave rest, a profound non-REM rest where sleepwalking regularly begins," Kapur said.

One of the primary worries with rest strolling is damage to oneself or others. At the point when there is any issue of complex conduct that has somebody leaving the home or possibly doing exercises that could hurt them, they ought to be assessed and treated, Kapur said.


Medications for rest strolling incorporate better rest cleanliness, keeping a customary rest plan (to stay away from lack of sleep) and evading an abundance of liquor and caffeine or perhaps any whatsoever, especially at night, he said. For outrageous cases, drug might be endorsed.



Horror during sleep



Child development

"Change in the child that occurs over-time. Changes follow an orderly pattern that moves towards greater complexity and enhances survival."

Periods of development

  • Prental period from conception to birth.
  • Infancy and toddlerhood birth to 2 years
  • Early childhood 2-6 years old 
  • Middle childhood 6-12 years old
  • Adolescence 12-19 years old

Earlier stages of development



Domains of development

      Development's described in three domains, but growth in one domain influence the order domains.

Physical Domain
 Body size, body, proportions, appearance brain development, motor development, perception, capacities, physical health.

Cognitive Domain
  Thought processes and intellectual abilities including attention, memory,problem solving, imaginations, creativity, academic and everyday knowledge meta-cognition and learning languages.


Social emotional domain
    Self- knowledge , moral reasoning, understanding and expression of motion self-regulation, temperament understanding other international skills.





Theories.

what is theory and why its important ?

Orderly set of ideas which described, explain, and predict behavior.
To meaning what we observe.
As a basis for action-finding ways to improve the lives and education of children










Origins of child-development theories



             16-15th Centuries medieval period.
performationism ; children seen as little adjust.
childhood is not unique phase.
children were cared for until they could begin caring for themselves, around 7 year old.
Children treated as adults ( their clothing, worked at adults job could be married were made into kings were imprisoned or hanged a adults.


               16th Century reformation period.

Puritan religion influenced how children were viewed.
Children were born evil, must and must be civilized.
A goal emerged to raise children effectively.
Special books were designed for children.


            17th Century Age of Enlightenment


John Locke believed in Tbula rasa.
Tabula rasa is Latin phrase often translated s blank state.
It is an idea that individuals are born without built in mental content and that there for all knowledge comes from experience of perception
Children develop in response to.


         18th century Age of reason
Jean - jacques Rousau.


children were noble savages, born with an innate sense of morality the timing of growth should not be inferred with.
Roussseay used the idea of stages of development.





Behavioral and social learning theories.

Beliefs that describe the importance of the enviroment and nuturing in the growth of a child.

Behaviorism
  • Developed as a response to psychoanalytical theories.
  • Behaviorism became the dominant view from the 1920-1960


John Watson.
  • Early 20 Century "father of the American Behaviorist theory."
  • Based his work on Pavlov's experiments on the digestive system if dogs.
  • Researched classical conditioning.
  • Children are passive begins who can molded by controlling the stimulus-response associations.

B.F Skinner 

Proposed that children "operate" on their envioroment, operational conditioning.
Believed that learning could be broken down into smaller tasks. and that offering immediate rewards for accomplishments.



Social Learning theories

Albert Bandura,
Stressed how children learn by observation and imitation 
Believed that children gradually become more selective in what they imitate.



Biological theories and system theories.

   Belief that heredity and innate biological processes govern growth.
   The belief that development can't be explained by a single concept, but rather by a complex system.


The varied system of the environment and the interrelationships among the system shape child's development.
The environment effects the child and the child influences the environment.







Thanks for reading      :)

   


Hi guys,
Today i'm telling you about healthy lifestyle in detail.
How you will maintain your health in long term by reducing diseases.


Summary of the topic


  • A wide assortment of nourishments is vital for good wellbeing. 
  • Calcium and iron are critical supplements in our weight control plans. 
  • Babies and youthful youngsters ought not be set on low-fat weight control plans. 
  • Urge newborn children and youngsters to pick water as their favored beverage. 
  • Youngsters will have better sustenance and improve at school in the event that they have breakfast. 
  • Be physically dynamic.

Helpful chart for your healthy tips


On this page


  • Sound weight control plans contain an assortment of sustenances
  • Physical action and good dieting 
  • Downplay fat 
  • Eat and drink less high-kilojoule sustenances 
  • Eat nourishments wealthy in calcium and iron 
  • Savor liquor control 
  • Sound weight control plans for infants and kids 
  • Try not to skip breakfast 
  • Tips for sound morning meals 
  • Where to get help


Sound weight control plans contain an assortment of sustenances 


  1. All in all, we ought to incorporate a scope of nutritious sustenances and eat: 
  2. A lot of breads and oats (especially wholegrain), organic product, vegetables and vegetables, (for example, chickpeas, lentils and red kidney beans) 
  3. low-salt sustenances, and utilize salt sparingly 
  4. little measures of sustenances that contain included sugars
  5. It is likewise vital to drink a sufficient measure of water.




How to protect your eyes ?





Eat and drink less high-kilojoule nourishments 


The aggregate sum of vitality thick (high-kilojoule) nourishments you eat might be as vital as the aggregate sum of fat in your eating routine. To lessen the vitality thickness of your eating regimen, you have to expand the measure of plant sustenances, for example, wholegrain breads and oats, foods grown from the ground that you eat. 

This will give basic supplements, help to make you feel 'full' and furthermore decrease the measure of fat in your eating routine. High caffeinated beverages, for example, sports drinks, cordials, soda pops, natural product juice, caffeinated beverages ought to likewise be constrained. 

Eat nourishments wealthy in calcium and iron 

It is vital for all Australians to eat nourishments which contain iron and calcium. Specifically: 

Calcium – is vital for bone wellbeing particularly for babies, ladies and young ladies. 

Iron – bears oxygen the body and is particularly vital for ladies, young ladies, veggie lovers and competitors to decrease the danger of sickliness. 

Savor liquor balance 

Liquor is high in vitality (kilojoules) and ought to be expended with some restraint. Men should drink under two standard beverages for each day and ladies short of what one standard beverage for every day. One standard beverage is 375 ml mid-quality brew, 100 ml wine or 30 ml spirits. Liquor ought not be given to youngsters and isn't suggested for pregnant or breastfeeding ladies. 

Solid weight control plans for infants and kids 

There are rules to pursue that assistance energize a solid eating regimen for your baby or youngster, including: 

Newborn children – it is urged for infants to be breastfed for the primary year of life. Much of the time, breastfeeding ought to be the main wellspring of sustenance in the initial a half year. In the event that you use recipe, be mindful so as not to overload or deprive your child. 

Sugar – kids ought to eat just a little measure of nourishments that contain sugar and maintain a strategic distance from sustenance with included sugar, for example, lollies, natural product drinks and sodas. 

Low-fat eating regimens
 – are not proper for newborn children and youthful kids under two years old. An eating routine low in fat, particularly immersed fat, might be considered for more seasoned kids. 

Beverages – newborn children and youngsters ought to be urged to pick water as their favored beverage. 

Try not to skip breakfast 

Kids who skip breakfast by and large have less fortunate nourishment. Their weight control plans contain less: 
calcium 
iron 
dietary fiber 

nutrients, for example, riboflavin and niacin. 

Skipping breakfast turns out to be increasingly regular as kids get more established. A few schools have presented breakfast programs since they were worried about kids who skip breakfast. Youngsters for the most part perform better at school when they eat. They are likewise bound to keep up a solid weight when they expend a sound breakfast. 

Grown-ups who have a solid breakfast are almost certain be a sound weight and progressively beneficial at work. 

Tips for solid morning meals 


Some simple to-get ready, solid breakfast thoughts include: 

crisp organic product with wholegrain breakfast grain and decreased fat milk. Toast with a slim spread of margarine (polyunsaturated or monounsaturated) 

toast with cheddar and tomato. Hot or cold decreased fat milk 

moved oats made with fast oats. Include sultanas and decreased fat milk. Toast with a flimsy spread of margarine (polyunsaturated or monounsaturated). Squeezed orange 

prepared beans on toast. Squeezed orange 

natural product or plain yogurt's with organic product. 


Your specialist
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DR-Hafiz Mohammad waqas DPD ppt


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Benefits of a morning walk





Benefits of a Morning Walk for Your Health and Energy

I have a confession. I'm not someone who likes going to the gym.

While building a healthy lifestyle has been an important habit for me, I just don't have the time or the interest in joining one of those national gym chains.

Instead, I have found that one of the best ways to improve and maintain my health is to simply focus on walking first thing in the morning.


Walking in the morning on a regular basis will result in multiple health benefits and it is sure to enhance not only physical health but also mental and emotional well-being.

If you are curious about whether an early stroll would help your health, energy and overall well-being, check out the following seven benefits of a morning walk.





















There are few best idea's to grow up your healthy life



Make sure you get up early in the morning.
Feeling better
.Don't stuff your mind in that things you don't understand
         Do light Morning walk with your friends.



Perfect time for Morning walk...



Research shows that afternoon (3 p.m. to 7 p.m.) is the best time to exercise for both performance and for building muscles.










Pros:
  • For most people, body temperature and hormone levels peak at 6 p.m. Exercising three hours before or after the peak will give you your best workout for both effort and building muscle.
  • Research shows lung function is best at 4 p.m. to 5 p.m.
  • Muscles are warm and flexible.
  • The afternoon is when you have the lowest perceived exertion of the day: You can exert yourself more while feeling it less, so you may be able to work out harder or faster in the afternoon.
  • Afternoon exercise can help regulate the amount of food you feel like eating for dinner.
  • You can exercise for stress leave after a day at work, school, or home.
Cons:
  • You may find that things keep coming up that force you to work late or tempt you to socialize rather than exercise.
  • If you use the gym for exercise or equipment such as the treadmill, it may be crowded and hard to get the workout you want.



The Very Best Time to Walk and Exercise

The very best time to walk? Walking can only do you good if you do it. The best time to walk is the time that will fit best into your schedule so you can do it consistently. Experts agree—it is not the time of day that matters as much as finding the time you can set aside consistently for your workouts.






some other effects of morning walk that you may know😊




  • Body temperature is at its lowest one to three hours before awakening, making the morning a time of naturally lower energy and blood flow.
  • Cold, stiff muscles may be more prone to injury. Be sure to warm up well before doing a higher speed workout, and do gentle stretching.
  • If you do not enjoy morning exercise, you won't easily form a walking habit by choosing a morning workout time.
  • Because body temperature and hormones are higher late in the afternoon, you probably get the same or better calorie-burning effects later in the day.





Arthritis pain radiated to knee but not below.
Pain on Lateral aspect of thigh i.e. iliotibal band syndrome.






Trochanteric Bursitis 




  • An anatomical Diagnosis for inflammation of the Trochentric Bursae associated hip pain,
  • There are three main trochanteric Bursae

  1. The first between gluteus  maximus and glutes medius tendon.
  2. Second between gluteus maximum and gluteus medius tendon.
  3. Third between gluteus medius and greater trochanter



Stress fracture


> injury occurs in response to repetitive overloading of the bone.
> Athlete, long runner, prolong activities 





Sciatica

> Risk factor
> pregnancy
> leg length discrepancy
> Pelvic and abdomnal organ can cause the hip pain







For More information please visit our hospital for permanent relief 😊😊

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DR-Hafiz Mohammad waqas

Hip Region

  • Stability and mobility
  • Coxa Vara
  • Coxa valga
  • Coxa Norma
  • Muscles around hip joint
  • Nerve supply
  • Blood supply










Pain patterns,

True hip pain... Posterior deep within buttock or anteriorly in the groin
Lateral side of hip pain....Not intra Articular but trigger point, bursitis, True hip pain active and passive motion pain must increase with weight Bearing.



  1. Antalgic gait pattern
  2. Abductor weakness


how to control and manage pain ?




Referred pain from low back SI, SACRUM, 
Localized hip pain from bursits, hernia, Weakness, strain ETC
Upper Lumbar vertebrae Causes pain to anterior aspect of high.
Lower causes Pain to buttock, Poterior, aspect of thigh,
Persistent pain not relived with reset and night pain.....Medical referral





systemic presentations,

Non Capsular pattern.
Limited hip extension, adduction, lateral rotation



Capsular Pattern for the hip
Limitation of flexions, abduction, medial rotation and, sometimes, slight limitation of hip extension.
Empty end feel can endicator of potentially serious of potentially series desieses such as infections or neoplasm.


= Empty end feel is described as limiting pain before the end range of motion is reached
= Decreased range of motion is positive for an intra articular of symptoms.
= If Normal hip rotation is present in the position but the motion reproduces hip pain, Than the extra articular cause should be considered.


      briefly introduction

Chronic pelvic pain (CPP) is a serious problem affecting the lives of many women during their child bearing years. It is a recognised long term morbidity of sexually transmitted infections and pelvic inflammatory disease. The differential diagnosis of the underlying aetiology often involves both psychological and organic factors. The management of CPP constitutes a major challenge to the clinician mainly because of our lack of understanding of its natural history, aetiology, and pathogenesis.
The aim of this descriptive review is to identify the wide range of aetiological factors for CPP in order to illustrate the dilemma facing clinicians in investigating and managing this condition.








Pelvic congestion syndrome S/S ;

>Lower abdominal/pelvic pain.
>Unilateral or bilateral
>Varicose veins in the buttocks, thighs, or lower extremities.
>Acute appendictis, inflammatory bowel disease crohn's disease articulative, irritable bowel syndrom


in above picture bitterly summarize all circumstances of relevant topic.

Medical Definition of Referral


The recommendation of a medical or paramedical professional. If you get a referral to ophthalmology, for example, you are being sent to the eye doctor. In HMOs and other managed care schemes, a referral is usually necessary to see any practitioner or specialist other than your primary care physician (PCP), if you want the service to be covered. The referral is obtained from your PCP, who may require a telephone or office consultation first.
The term "referral" can refer both to the act of sending you to another doctor or therapist, and to the actual paper authorizing your visit.


you can get more help by calling your nearby doctor taking decisions what is the more best things to make you healthy 😊

Doctors love to see patients come and hate to see them go. Patient retention aside, there are many reasons it can be beneficial to offer a referral.




Times doctor should consider a patient referral


1. When they struggle to make a diagnosis

There will be times when, no matter how hard you try, you just won’t be able to determine how to best help a patient. Don’t stress, because there are other physicians out there that can help. This isn’t defeat, it is a mutual goal to diagnose a patient in the most efficient way. Consider referring your patient if you find yourself in this situation.

2. When they want a specialist's opinion

They say two heads can be better than one. Sometimes a specialist can have a different opinion that might benefit the patient.
According to the Archives of Internal Medicine, about one in 10 visits to a primary care doctor resulted in a referral to a specialist in 2009. If you see that your patient has risk factors, or if you simply want a second opinion, a referral to a specialist might be the way to go. This doesn’t necessarily hurt your patient retention, because you are still involved in the patient’s journey.


3. When some opinions need

They say two heads can be better than one. Sometimes a specialist can have a different opinion that might benefit the patient.
According to the Archives of Internal Medicine, about one in 10 visits to a primary care doctor resulted in a referral to a specialist in 2009. If you see that your patient has risk factors, or if you simply want a second opinion, a referral to a specialist might be the way to go. This doesn’t necessarily hurt your patient retention, because you are still involved in the patient’s journey.



For more detail Call us 
Our whats app number is +923304355981
Dr-Hafiz Mohammad waqas
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Thanks for reading


Physical therapist must be able to identify signs and symptoms of systemic origin that can mimic neuromuscular dysfunction.



Sacrum and sacroiliac joint.

  • No single physical examination finding can predict a disorder of the SI joint.
  • Pain originating from the SI joint can mimic pain referred from Lumbar disc herniation, spinal steno-sis, facet joint dysfunction,or even a disorder of hip.
  • A fall on the hip, lifting of heavy object in a twisted position, childbirth.



Typical systemic diseases that refer pain to the sacrum and sacroliac joint; gynecologic, prostate cancer.



     Risk factors And clinical presentation....!



Osteoprosis, sexually transmitted infection, long term use of antibiotics (colitis).
Lack of objective findings, Anterior pelvic, suprapubic, or low abdominal pain at some level as the sacrum.










Spondylogenic causes of sacroiliac pain.

Metabolic bones disease (MBD)
>Osteoporosis,
>paget's disease,
>osteodystrophy




Can result in loss bone mineral density and deformity or fracture of sacrum.
A bone disease occurs when the kidneys fail to maintain the proper levels of calculam and phosphorus.



back pain may be referd from systemeic or nueromuscoulostetal originiation from hip, SI joint, sacrum, pelvis, low back, groin, thigh.


Aggravating and relieving factors :

Aggravated by exercise, weight bearing, Lumbar Rotation. Relived by rest or stretching.
Eliminated by trigger point therapy.
Stress fractures during traumatic delivery, Osteomalacia and Paget's Disease.






Thanks for reading
Regards Dr hafiz Mohammad waqas

For more detail or any Discussion call us or visit our hospital for permanent relief.😊

03304355981

How to reduce your pains at home ?


Your physiotherapist will assess if these skeletal components are all working well together to ensure your body is moving at its optimum. Many injuries are as a result of the musculoskeletal system not working well as a whole.
Chronic pain, especially lower back pain  are also caused by the musculoskeletal system being out of alignment in different areas. Our musculoskeletal treatments focus on:
  • reducing pain
  • increasing mobilisation
  • treating soft tissue damage
  • correcting skeletal alignment




its some information on above photo
now we can now how to manage and control your pains at home



  1. Exercise. This might sound a little crazy and you might be thinking to yourself, I can barely move, let alone exercise. ...
  2. Apply heat. Heat helps to relax the contracting muscles in your uterus, which is the cause for your pain. ...
  3. Drink chamomile tea. ...
  4. Make sure you're getting enough vitamin D. ...
  5. Have an orgasm. ...
  6. Acupuncture.





you can reduce your's pain by exercising the muscles.
Avoid drinking from cool water.
in winter also you can wear hot dresses that is helpful way to get ride the pains.







For more information and better treatment please visit our hospital
Cheema family hospital Sambrial
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DR-Hafiz MOHAMMAD WAQAS

+923304355981