

Grammar


Tenses


Present

Present Simple

Present Continuous

Present Perfect

Present Perfect Continuous


Past

Past Simple

Past Continuous

Past Perfect

Past Perfect Continuous


Future

Future Simple

Future Continuous

Future Perfect

Future Perfect Continuous


Parts Of Speech


Nouns

Countable and uncountable nouns

Verbal nouns

Singular and Plural nouns

Proper nouns

Nouns gender

Nouns definition

Concrete nouns

Abstract nouns

Common nouns

Collective nouns

Definition Of Nouns

Animate and Inanimate nouns

Nouns


Verbs

Stative and dynamic verbs

Finite and nonfinite verbs

To be verbs

Transitive and intransitive verbs

Auxiliary verbs

Modal verbs

Regular and irregular verbs

Action verbs

Verbs


Adverbs

Relative adverbs

Interrogative adverbs

Adverbs of time

Adverbs of place

Adverbs of reason

Adverbs of quantity

Adverbs of manner

Adverbs of frequency

Adverbs of affirmation

Adverbs


Adjectives

Quantitative adjective

Proper adjective

Possessive adjective

Numeral adjective

Interrogative adjective

Distributive adjective

Descriptive adjective

Demonstrative adjective


Pronouns

Subject pronoun

Relative pronoun

Reflexive pronoun

Reciprocal pronoun

Possessive pronoun

Personal pronoun

Interrogative pronoun

Indefinite pronoun

Emphatic pronoun

Distributive pronoun

Demonstrative pronoun

Pronouns


Pre Position


Preposition by function

Time preposition

Reason preposition

Possession preposition

Place preposition

Phrases preposition

Origin preposition

Measure preposition

Direction preposition

Contrast preposition

Agent preposition


Preposition by construction

Simple preposition

Phrase preposition

Double preposition

Compound preposition

prepositions


Conjunctions

Subordinating conjunction

Correlative conjunction

Coordinating conjunction

Conjunctive adverbs

conjunctions


Interjections

Express calling interjection

Phrases

Sentences


Grammar Rules

Passive and Active

Preference

Requests and offers

wishes

Be used to

Some and any

Could have done

Describing people

Giving advices

Possession

Comparative and superlative

Giving Reason

Making Suggestions

Apologizing

Forming questions

Since and for

Directions

Obligation

Adverbials

invitation

Articles

Imaginary condition

Zero conditional

First conditional

Second conditional

Third conditional

Reported speech

Demonstratives

Determiners


Linguistics

Phonetics

Phonology

Linguistics fields

Syntax

Morphology

Semantics

pragmatics

History

Writing

Grammar

Phonetics and Phonology

Semiotics


Reading Comprehension

Elementary

Intermediate

Advanced


Teaching Methods

Teaching Strategies

Assessment
COELIAC DISEASE
المؤلف:
FRANK GARVEY AND JACKY VINCENT
المصدر:
Caring for People with Learning Disabilities
الجزء والصفحة:
P128-C8
2025-10-21
285
COELIAC DISEASE
Adults with Down’s syndrome are at a higher risk of developing coeliac disease than the general population. Coeliac disease arises as a result of an allergic autoimmune reaction to gluten – a nitrogenous component of wheat, barley and rye. The lining of the small bowel becomes damaged, causing microscopic anatomical (histological) changes, including flattening of the intestinal villi. As a result, the small bowel becomes unable to absorb water and nutrients. Consequently, individuals with coeliac disease have regular loose bowel movements, which are bulky and foul smelling, and they have diminished appetite (anorexia) and weight loss. Impaired nutrition can affect hemoglobin, causing anemia, reduced bone density (osteoporosis) and alterations in intestinal bacterial population, leading to abdominal distension and contributing to irritable bowel syndrome (IBS).
The main way of diagnosing coeliac disease is through analyzing histological changes within a small tissue sample (biopsy) of the duodenum before and after a period of a gluten-free diet. Treatment involves totally removing gluten from the diet through avoiding all wheat, barley, oat and rye products. In many cases, relief of the symptoms is quickly appreciated – the older the sufferer, the longer the symptoms take to come under control. Coeliac disease is a long-standing (chronic) condition, although there are frequently periods of apparent total recovery (remission), during which time adherence to the dietary regime, which should include vitamin and iron supplements, continues to be necessary.
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