

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
CARDIAC (HEART) DEFECTS
المؤلف:
FRANK GARVEY AND JACKY VINCENT
المصدر:
Caring for People with Learning Disabilities
الجزء والصفحة:
P130-C8
2025-10-21
324
CARDIAC (HEART) DEFECTS
Defects within the heart of adults with Down’s syndrome are common. Abnormal embryological cardiac development can result in cardiac structural defects. Between 40 and 50 per cent of babies with Down’s syndrome have congenital heart defects (Tubman et al. 1991), including atrial and ventricular septal abnormalities, in which blood is inappropriately shunted through structural defects in the atria or ventricles, respectively. The shunting of the blood reduces the effectiveness of the oxygenation function of the blood, resulting in fatigue and cyanosis. Cyanosis can be seen when the skin of the extremities and the mucous membranes turn a dusky blue color and are cold to the touch. Central cyanosis is seen in the tongue and the lips turn blue, as arterial blood becomes deplete.
Many adults with Down’s syndrome have incompetent mitral valves caused by weakening of the valve subsequent to the cardiac infection sub-acute bacterial endocarditis and, as such, require prophylactic preventative antibiotic therapy for dental investigation, as the infective agent can easily gain access to the body through a cut within the mouth. As the student or carer, it is essential that you ensure antibiotics are taken by an adult with Down’s syndrome prior to dental treatment, where this is necessary.
Patent ductus arteriosis occurs as the embryonic duct connecting the aorta and pulmonary artery fails to close, resulting in inefficient blood passage throughout the body. Many of these congenital cardiac defects are surgically reversible but rely upon early detection. A high level of clinical suspicion about the presence of cardiac abnormalities must exist for all children with Down’s syndrome. Structural defects may well only be symptomatic later in life and missed if echocardiograms have not been utilized in the diagnostic process. It is recommended that screening echocardiograms are employed in the early adulthood of all people with Down’s syndrome. Early corrective intervention is essential to minimize the chance of secondary pulmonary disease occurring.
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