#IB schools in Noida
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Choose the best international board schools for admission in Noida, NCR. The Admission Process at Prometheus School is structured, simple and systematic.
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Best IB Schools in Pune 2024-2025
Best IB Schools in Pune- International Schools in Pune 2024-2025
The need for global education is rising to prepare kids for the opportunities and challenges of the dynamic world we live in. When it comes to an international school, the benefits extend more than just preparing academically ready students, it focuses more on leadership skills which enables them to solve world issues. As people are releasing this need, the number of international schools is increasing with time. Maharashtra has the highest number of schools offering international boards like IGCSE and IB with Pune as a significant contributor. The city of Pune has some elite IB schools that serve global education in a nurturing environment. Some of the best IB schools in Pune are:
1.UWC Mahindra College
UWC Mahindra College is one of the prestigious and best IB schools in Pune offering International Baccalaureate (IB) board. The school was started in 1997 and is a venture of the Mahindra Group. The school is among the 18 United World Colleges and offers world class pedagogy matching global standards.
Board: IB
Type of School: Co-Ed School
Grade Upto: Class 12
Establishment Year: 1997
2.Mahindra International School (MIS)
Mahindra International School (MIS) was started with the name of Mercedes-Benz International School and is one of the oldest yet best IB schools in Pune. The school embarked on its journey of revolutionizing international education in 1998. Located in the heart of Hinduja, the school ensures students develop into global citizens.
Board: IB
Type of School: Co-Ed School
Grade Upto: Class 12
Establishment Year: 1998
3.D Y Patil International School
D Y Patil International School understands that education is not merely grabbing textbook concepts rather is a journey to self discovery leading to reaching one’s true potential and instills that same in its curriculum. The school imparts education based on high moral values and ethics. It blends the global curriculum with the traditional values to bring the best of learning.
Board: IB and IGCSE
Type of School: Co-Ed School
Grade Upto: Class 12
Establishment Year: 2008
4.Victorious Kidss Educares
Victorious Kidss Educares is another top institution among the best IB schools in Pune. Growing elegantly, the school has emerged as one of the leading international schools. The school is built on the strong values and vision of Dr. Robbin Ghosh. The school strives to create lifelong love for learning in students with a spark of exploration. The school has a modern infrastructure with modern and top class facilities like spacious classrooms, reading room, smart boards, practical labs, AV rooms and more.
Board: IB
Type of School: Co-Ed School
Grade Upto: Class 12
Establishment Year: 1997
5.Symbiosis International School
Symbiosis International School has gained a significant position in the list of best IB schools in Pune with its focus on developing self disciplined, empathetic and confident students. Founded in 1950, it offers both IB and IGCSE boards. The world class education at Symbiosis International School is supported by its dedicated staff who make learning fun and engaging.
Board: IB and IGCSE
Type of School: Co-Ed School
Grade Upto: Class 12
Establishment Year: 1950
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*Dr. Smita Goel Homeopathy Clinic*
www.thehomeopathyclinic.co.in
Our immune system is our body’s defense against infections and other harmful invaders. Without it, we would constantly get sick from bacteria or viruses.
Our immune system is made up of special cells, tissues, and organs that work together to protect us.
Normally, the immune system can tell the difference between foreign cells and our own cells.
In an autoimmune disease, the immune system mistakes part of our body, like our joints or skin, as foreign. It releases proteins called autoantibodies that attack healthy cells.
Some autoimmune diseases target only one organ. Type 1 diabetes damages the pancreas. Other diseases, like Systemic Lupus Erythematosus (SLE), affect the whole body..
Women get autoimmune diseases rate is high compared to men. Often the disease starts during a woman’s childbearing years (15Years to 44Years).
Certain autoimmune diseases, like multiple sclerosis and lupus, run in families. Not every family member will necessarily have the same disease, but they inherit a susceptibility to an autoimmune condition.
Because the incidence of autoimmune diseases is rising, researchers suspect environmental factors like infections and exposure to chemicals or solvents might also be involved. Our modern life style, working style and foods are also huge causes.
We don’t know exactly what causes autoimmune diseases. Genetics, diet, infections, and exposure to chemicals might be involved.
The lymph or lymphatic, system is a major part of the immune system. It's a network of lymph nodes and vessels. Lymphatic vessels are thin tubes that branch, like blood vessels, throughout the body. They carry a clear fluid called lymph. Lymph contains tissue fluid, waste products, and immune system cells. Lymph nodes are small, bean-shaped clumps of immune system cells that are connected by lymphatic vessels. They contain white blood cells that trap viruses, bacteria, and other invaders, including cancer cells.
White blood cells are the cells of the immune system. They are made in one of your lymph organs, the bone marrow. Other lymph organs include the spleen and thymus.
When our immune system doesn't work the way it should, it is called an immune system disorder.
• Primary immune deficiency – Be born with a weak immune system.
• Acquired immune deficiency – Get a disease that weakens your immune system.
• Allergic reaction – Have an immune system that is too active.
• Autoimmune disease – Have an immune system that turns against you.
There are some common examples:
• Severe combined immunodeficiency (SCID) is an example of an immune deficiency that is present at birth. Children are in constant danger of infections from bacteria, viruses, and fungi. This disorder is sometimes called “bubble boy disease.”
• Temporary acquired immune deficiencies. Our immune system can be weakened by certain medicines, for example: This can happen to people on chemotherapy or other drugs used to treat cancer. It can also happen to people following organ transplants who take medicine to prevent organ rejection. Also, infections like the flu virus, mono (mononucleosis), and measles can weaken the immune system for a brief time. Our immune system can also be weakened by smoking, alcohol, and poor nutrition.
• AIDS. HIV, which causes AIDS, is an acquired viral infection that destroys important white blood cells and weakens the immune system. People with HIV/AIDS become seriously ill with infections that most people can fight off. These infections are called “opportunistic infections” because they take advantage of weak immune systems.
If we are born with certain genes, our immune system may react to substances in the environment that are normally harmless. These substances are called allergens. Having an allergic reaction is the most common example of an overactive immune system. Dust, mold, pollen, and foods are examples of allergens.
Some conditions caused by an overactive immune system are:
• Asthma: The response in our lungs can cause coughing, wheezing, and trouble breathing. Asthma can be triggered by common allergens like dust or pollen or by an irritant like tobacco smoke.
• Eczema: An allergen causes an itchy rash known as atopic dermatitis.
• Allergic rhinitis: Sneezing, a runny nose, sniffling, and swelling of your nasal passages from indoor allergens like dust and pets or outdoor allergens like pollens or molds.
In autoimmune diseases, the body attacks normal, healthy tissues. The causes are unknown. It is probably a combination of a person’s genes and something in the environment that triggers those genes.
There are some common autoimmune diseases are:
• Type 1 diabetes: The immune system attacks the cells in the pancreas that make insulin. Insulin removes sugar from the blood to use as energy.
• Rheumatoid arthritis: This type of arthritis causes swelling and deformities of the joints. An auto-antibody called rheumatoid factor is in the blood of some people with rheumatoid arthritis.
• Lupus: This disease that attacks body tissues, including the lungs, kidneys, and skin. Many types of auto-antibodies are found in the blood of people with lupus.
So, we should never ignore to our care for immunity system. Homeopathy medicines are a good choice for improving our immunity system.
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A Guide to Top-Rated Schools in Noida
Looking for the best education in Noida? Check out our curated list of top-rated schools offering excellent academic and extracurricular opportunities. For more Visit- https://prometheusschool.com/
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Unlocking Global Opportunities: Choosing the Best International School in Noida
The new-age parents aspire to provide their children with an academic experience that not only prioritizes academic excellence but also stimulates a global perspective. This is where international board schools in Noida play a crucial role, offering an unmatched blend of holistic education and international exposure. But how do you pick the right one?
The Ascent of International Education in India
As globalization continues to influence every sphere of life, education has evolved to meet the demands of a dynamic future. Noida, the hub of education, has some of the finest international schools in the country. They are oriented on developing the system of value, critical thinking and creativity, ensuring students are prepared for challenges beyond the classroom.
Why Choose International Board Schools in Noida?
International board schools in Noida do come from a different angle of strength. They integrate varied curricula, advanced methodologies of teaching and engaging co-curricular activities, making them an ideal option for students looking for a global outlook.
Here’s what makes these international schools distinct and stand apart from other schools:
Globally Recognized Curricula: International schools offering International Baccalaureate (IB) and the Cambridge International General Certificate of Secondary Education (IGCSE) programs, furnish students with qualifications that are recognized worldwide. This ensures seamless transitions for students who wish to study abroad.
Holistic Development: These international schools are not here just for education and academic performance but much more than that. Sports programmes, arts, community services as well as entrepreneurship programmes are encouraged in these schools and students are allowed to develop these talents while picking their areas of interest.
Diverse Learning Environments: Since students and teachers come from culturally diverse backgrounds, these schools create an inclusive learning environment, allowing students to have interactions with peers from other cultures and exposing them to different perspectives
Innovative Teaching Methods: For instance, in international board schools in Noida, students are not just passive learners but are innovators and critical problem solvers anchored on project-based teaching and learning, mime drill, and use of modern technology.
What can turn a regular school into the Best International School in Noida?
Finding the best international school in Noida comprises understanding what aligns with your child’s requirements and aspirations. Here are some factors to take into account:
Curriculum Offerings: Search for schools offering curricula accredited by International Baccalaureate (IB), Cambridge or any other international boards that suit your child’s goals.
Teacher-Student Ratio: A low teacher-student ratio means that each learner will get ample attention and a friendly, supportive environment.
Infrastructure: Extraordinary amenities for academics, sport and other co-curricular activities are a quality trait of top-tier schools.
Focus on Values and Well-being: A good educational institution aims at the development of wholesome personalities who are caring, courteous and resilient.
Shaping Students Today for Tomorrow
The real essence of an international school lies in its ability to nurture global citizens. Such schools, particularly in Noida, do not only try to offer international education but also include Indian ethos into it. This arrangement makes sure that the students are rooted while they fly all over the world.
For instance, there is a growing concern in the education sector for sustainable development. Almost all the international board schools in Noida are now educating students with the principles of sustainability and letting them feel how they should behave to ensure the sustainability of their planet, Earth.
Conclusion: The Path to Excellence
Choosing an appropriate school for your children serves as the most critical and impactful decisions for their future. The best international school in Noida offers a balanced approach to learning, blending academic rigor with extracurricular enrichment. These institutions empower students with those ingredients that can enable them to achieve their academic and individual goals, ensuring they are ready for a future filled with opportunities. If you are out in search of good international board schools in Noida that provide curiosity, creativity and critical thinking to your child, then it is high time you start evaluating each school's offerings and aligning them with your needs to make a safe and an informed decision. After all, investments made for quality education today pave the way for a well-educated and brighter tomorrow.
Source: Blogspot.com
#international board schools in Noida#best international school in noida#international school in noida#top ib schools in noida#best ib schools in noida
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Explore the exceptional Prometheus School facilities as the prestigious Interact Club is inaugurated at Prometheus School Noida. Discover how the school fosters leadership, community engagement, and holistic development for its students. Read more about this milestone event here!
#Prometheus School Noida#Prometheus School facilities#top international schools Noida#best schools in Noida#Noida IB curriculum#school admissions Noida#affordable IB schools in Noida#schools with extracurricular activities Noida#primary education Noida
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Discovering Top IB Board Schools Near Me: A Gateway to Global Education
In today's rapidly evolving world, education plays a crucial role in preparing students for the challenges and opportunities that lie ahead. International Baccalaureate (IB) schools have gained immense popularity for their holistic and globally-focused approach to education. If you're searching for IB board schools near you, this blog aims to guide you in your quest for a top-notch education that combines academic excellence with an international perspective.
What is the IB Board? The International Baccalaureate (IB) is an educational foundation headquartered in Geneva, Switzerland, offering a comprehensive educational program for students aged 3 to 19. The IB curriculum is designed to foster intellectual, personal, emotional, and social development, equipping students with the skills and knowledge to thrive in a rapidly changing world. It emphasizes critical thinking, inquiry-based learning, and intercultural understanding.
Benefits of IB Board Schools:
Global Perspective: IB schools encourage students to become active global citizens, fostering a deep understanding and appreciation of different cultures and perspectives. The curriculum is designed to cultivate open-mindedness and promote international-mindedness.
Rigorous Academics: IB programs are academically challenging, promoting deep learning and critical thinking skills. The curriculum is designed to develop students' intellectual curiosity and provide a well-rounded education across subjects such as languages, sciences, mathematics, humanities, and the arts.
Holistic Development: IB schools focus not only on academics but also on developing students' personal and social skills. They emphasize attributes such as communication, collaboration, self-management, and resilience, nurturing well-rounded individuals.
College and Career Readiness: IB programs are recognized and respected by universities worldwide. The challenging nature of the curriculum prepares students for higher education, equipping them with essential skills for success in university and beyond.
Finding IB Board Schools Near Me:
Research: Begin your search by conducting thorough research. Look for a list of IB board schools in your area and explore their websites to gain insights into their mission, philosophy, curriculum, and extracurricular activities.
Visit and Evaluate: Plan visits to shortlisted schools to get a firsthand experience. Interact with teachers, students, and administrators to understand the school's culture, teaching methods, and support systems. Consider the facilities, resources, and extracurricular opportunities available.
Accreditation and Affiliations: Verify if the IB board schools you're considering are authorized by the International Baccalaureate Organization. Additionally, check for affiliations with other prestigious educational organizations or associations, which reflect the school's commitment to quality education.
Parent and Student Reviews: Seek feedback from parents and students who have firsthand experience with the schools you are considering. Their insights can provide valuable perspectives and help you make an informed decision.
Conclusion: Choosing an IB board school near you can be a transformative decision for your child's education. The IB curriculum's global focus, academic rigor, and emphasis on holistic development make it an attractive choice for many families. By conducting thorough research, visiting schools, and considering accreditation and reviews, you can find an IB board school that aligns with your educational aspirations. Prepare your child for success in an interconnected world and embark on a journey of learning that goes beyond borders.
#best ib schools in noida#best ib board schools in delhi ncr#top ib schools in Noida#international board schools in noida
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Management Quota MBA Admission BIMTECH
Management Quota MBA Admission BIMTECH
Management Quota MBA Admission BIMTECH. We at Ace Guru Education Services understand the stress and difficulties students face while applying for courses in top colleges because of the increase in competition. We help students to increase their chances of getting admission to their preferred courses in top MBA colleges. We provide admission assistance, guidance, and counselling for students to top colleges and universities in India.
Finding details regarding Management Quota MBA Admission BIMTECH. Visit our Websites- Direct-mba.com or you can send us email at - [email protected] Call @ 9742479101 Ankit Mishra, 9742886036 Anis, and 9035556036 Mayur Gautam
Ranking and Accreditations
Management Quota MBA Admission BIMTECH. Ranked 48th in the NIRF rankings 2023 under Management Category among the nation’s top 100 institutions. Accreditations BIMTECH holds accreditations from AACSB, NBA, and NAAC. The accreditations awarded by the three most influential National and International accreditation bodies globally underscore the quality of everything we do at the Institute.
National Accreditation: The National Board of Accreditation (NBA) is one of the two major bodies responsible for the accreditation of higher education institutions in India, along with the National Assessment and Accreditation Council (NAAC).
BIMTECH has all four Postgraduate programs, namely, PGDM, PGDM (IB), PGDM (RM), and PGDM (IBM) are accredited by the NBA, and renewal for NAAC is under process. International Accreditation: BIMTECH has been awarded the coveted AACSB Accreditation, The Association to Advance Collegiate Schools of Business, a USA-based international accrediting agency). Amongst 21 Indian B-Schools with Association to Advance Collegiate Schools of Business (AACSB) Accreditation
About BIMTECH
Management Quota MBA Admission BIMTECH. The Birla Institute of Management Technology (BIMTECH) was established in 1988 under the aegis of the Birla Academy of Art and Culture. Late Basant Kumar Birla, Ex-Chairperson of the Basant Kumar Birla group of companies, and Late Sarala Birla were the founders of BIMTECH.
The institute is governed by an eminent board of governors mostly drawn from the top echelons of the industry. The institute is supported by the Basant Kumar Birla group and Aditya Birla group of companies. BIMTECH is a mini India in its formation every year. It has students coming almost from all the states of India, and also from a few foreign countries.
BIMTECH is like a school where international business endeavors are also made. Its mix of nationalities, cultural backgrounds, and academic and professional experiences make BIMTECH one of the most exciting and enriching business schools in the country.
Directors Message BIMTECH Noida
Management Quota MBA Admission BIMTECH. For years BIMTECH has been educating young men and women who entered its community and attained their transformation into responsible citizens and leaders of corporates. By joining BIMTECH, you are embarking on an education system that is meant to be transformative – academically, socially, and personally.
“Excellence and Values” are our guiding principles which are reflected in every activity of the Institute. Our Handbook clarifies those values and standards and we expect you to honor them in your conduct as a student in the College.
Our mission at BIMTECH is to provide a safe, secure environment in which every student will acquire the skills and knowledge necessary to become accomplished, productive members of the ever-changing, global community. Our faculty is a very dedicated group of individuals who continue to focus on providing the best possible instruction for our students.
Management Quota MBA Admission BIMTECH
It is our request to the concerned authority of the listed colleges and any third party that if you find any defamatory language, lying, exaggerating, copyrighted materials, or other such practices, kindly let us notify soon as immediate reforms shall be made.
Booking in advance for 2025 Academic in most colleges is ongoing. So, call us and book your seats, at a very modest and genuine rate!! Seats are limited. Hurry Up!!!
Finding details regarding Management Quota MBA Admission BIMTECH. Visit our Websites- Direct-mba.com or you can send us email at - [email protected] Call @ 9742479101 Ankit Mishra, 9742886036 Anis, and 9035556036 Mayur Gautam
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How Noida Schools Rank Among National Bests
Noida has emerged as an educational hub in India, with its schools consistently ranking among the best in the country. With a strong emphasis on academic excellence, innovation, and holistic development, Noida schools have gained national recognition. Whether it's CBSE institutions, international schools, or those excelling in extracurricular activities, top schools in Noida are setting benchmarks for quality education. In this blog, we explore how Noida schools compare with national standards and why they are among the most sought-after institutions for parents and students alike.
The Rise of Noida as an Educational Hub
Noida has witnessed remarkable growth in the education sector over the past decade. Several factors contribute to its prominence, including:
High-Quality Infrastructure – Schools in Noida boast state-of-the-art campuses, smart classrooms, and modern laboratories.
Diverse Curriculums – From CBSE and ICSE to IB and Cambridge, Noida offers a wide range of curricula catering to different learning needs.
Holistic Development – The focus is on academics and extracurricular activities like sports, arts, and technology-driven learning.
Global Exposure – Students receive a global-level education from the best international school in Noida, preparing them for future challenges.
Top Schools in Noida and Their National Recognition
Several schools in Noida have made a mark in national rankings based on academic performance, teaching methodologies, and overall student development. Some of the top schools in Noida include:
1. Darbari Lal Foundation World School
Known for its progressive learning approach, Darbari Lal Foundation World School integrates technology and experiential learning, making it one of the leading CBSE schools in Noida.
2. Shiv Nadar School
Shiv Nadar School is ranked among India's best schools and focuses on personalized learning, innovation, and leadership skills.
3. Amity International School
With a strong academic record and an emphasis on extracurricular activities, Amity International is a top choice for many parents.
4. Step by Step School
Recognized nationally for its comprehensive learning approach, Step by Step offers a balanced mix of academics, sports, and performing arts.
5. The Shriram Millennium School
This school stands out for its emphasis on critical thinking, communication skills, and global education standards.
The Best International School in Noida – A Class Apart
Parents looking for a global education experience often seek the best international school in Noida. International schools in Noida follow globally recognized curricula, such as IB (International Baccalaureate) and Cambridge, providing students with an edge in higher education. Some leading international schools include:
Genesis Global School – Known for its IB curriculum and world-class facilities.
Pathways School Noida – Offers holistic learning that emphasizes technology and leadership.
Amity Global School – Provides an international learning environment with a strong academic foundation.
Why Noida Schools Rank Among the Best Nationally
Several factors contribute to the high national rankings of Noida schools:
Academic Excellence – Many Noida schools consistently achieve high board exam results and competitive exam success.
Modern Pedagogies – Schools incorporate interactive learning, AI-driven education tools, and project-based assessments.
Focus on Skill Development – Noida schools prioritize soft skills, leadership training, and entrepreneurship programs.
International Collaborations – Partnerships with global institutions enhance student exposure and learning opportunities.
With world-class infrastructure, innovative teaching methodologies, and a global perspective, top schools in Noida are setting new standards in education. Whether parents seek a strong academic foundation, an international curriculum, or an institution that fosters creativity and innovation, Noida has it all. For those looking for a globally recognized institution, the best international school in Noida ensures a future-ready education for their children. As Noida continues to rise as an educational hub, its schools will remain at the forefront of national and global excellence.
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How International Schools Foster Lifelong Learning
Education is much more than textbooks and exams; it’s about nurturing curious minds, building essential life skills, and inspiring a love for learning that lasts a lifetime. International schools are known for creating environments where students are encouraged to explore, question, and grow. But how exactly do they foster lifelong learning? Let’s dive in.
If you’re looking for the best international school in Noida or exploring options among the top CBSE schools in Noida, you’re likely seeking an institution that not only focuses on academics but also promotes skills like creativity, collaboration, and critical thinking. These are the foundations of lifelong learning, and many international schools excel in this regard.
Holistic Learning Approach
One of the standout features of international schools is their holistic approach to education. They recognise that students are not just learners of academic subjects but also individuals with unique talents and interests. By integrating arts, sports, technology, and extracurricular activities into their curriculum, international schools ensure that learning extends beyond the classroom.
For instance, a student who enjoys drama or robotics has the chance to hone these skills, developing confidence and problem-solving abilities. These opportunities nurture a passion for learning, making it a habit rather than a chore.
A Focus on Critical Thinking
Memorising facts is no longer enough in today’s fast-changing world. International schools focus on teaching students how to think critically, analyse information, and solve problems creatively. Whether it’s through project-based learning or class discussions, students are encouraged to form their own opinions and back them up with evidence.
This skill becomes invaluable later in life, whether they’re navigating university challenges or making informed decisions in their careers.
Emphasis on Global Perspectives
In an interconnected world, understanding different cultures and perspectives is vital. International schools expose students to global ideas, often through curricula like the International Baccalaureate (IB) or Cambridge programmes. This exposure helps students appreciate diversity and equips them with the tools to thrive in multicultural environments.
Even in CBSE schools that align with international standards, this approach is gaining momentum. If you’re searching for the top CBSE schools in Noida, you’ll find many adopting this broader perspective, ensuring students develop empathy and adaptability.
Personalised Learning
Every child learns differently, and international schools understand this. Many offer personalised learning plans that cater to individual strengths and areas of improvement. This approach ensures that no child is left behind and that every student feels valued.
If you’ve been researching the best schools in Noida with fee structure, you may notice that these institutions often provide detailed information about how they customise learning experiences. This transparency helps parents understand the value of such an education.
Conclusion
Choosing the right school is one of the most important decisions for a parent. A school that fosters lifelong learning not only prepares students for exams but also for life. If you’re considering the best international school in Noida or exploring the top CBSE schools in Noida, look for institutions that prioritise holistic development, critical thinking, and personalised learning. Many of the best schools in Noida with fee structure offer a glimpse into how they invest in their students’ long-term growth.
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Prometheus is the high class International Board Schools along with effective education system.
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List of Schools in Noida for 2025: A Key Guide for Parents
If you’re searching for the best educational institutions for your child in Noida, you’re in the right place! Noida is home to some of the finest schools in the region, offering a range of academic and extracurricular opportunities. Below is a list of schools in Noida that are known for their excellent facilities, dedicated staff, and holistic development programs.
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*Dr. Smita Goel Homeopathy Clinic*
www.thehomeopathyclinic.co.in
A person with short stature, or restricted growth, does not grow as tall as other people of the same gender, age, and ethnicity. The person's height is below the 3rd percentile.
Short stature can be a variant of normal growth, or it may indicate a disorder or condition.
Growth rate is an important indicator of overall health. Children who do not reach the 5th percentile by the age of 5 years are said to be small for gestational age (SGA). A pediatrician will look out for signs of "failure to thrive."
Early intervention can prevent future problems in many cases.
Normally, at 8 years of age, a child's arm span is around the same as their height. If these measurements are out of proportion, this may be a sign of disproportionate short stature (DSS), sometimes known as "dwarfism."
Fast facts on short stature
Here are some key points about short stature. More detail is in the main article.
• Short stature can happen for a wide range of reasons, including having small parents, malnutrition, and genetic conditions such as achondroplasia.
• Proportionate short stature (PSS) is when the person is small, but all the parts are in the usual proportions. In disproportionate short stature (DSS), the limbs may be small compared with the trunk.
• If short stature results from a growth hormone (GH) deficiency, GH treatment can often boost growth.
• Some people may experience long-term medical complications, but intelligence is not usually affected.
Causes
Growth depends on a complex range of factors, including genetic makeup, nutrition, and hormonal influences.
The most common cause of short stature is having parents whose height is below average, but around 5 percent of children with short stature have a medical condition.
Conditions that can underlie short stature include:
• Undernutrition, due to a disease or lack of nutrients
• Hypothyroidism, leading to a lack of growth hormone
• A tumor in the pituitary gland
• Diseases of the lungs, heart, kidneys, liver, or gastrointestinal tract
• Conditions that affect the production of collagen and other proteins
• Some chronic diseases, such as celiac disease and other inflammatory disorders
• Mitochondrial disease, which can affect the body in different ways, including growth
Sometimes, an injury to the head during childhood can lead to reduced growth.
A lack of growth hormone can also lead to delayed or absent sexual development.
Rheumatologic diseases, such as arthritis, are linked to short stature. This may happen because of the disease, or as a result of the glucocorticoid treatment, which can affect the release of growth hormone.
Disproportionate short stature (DSS) usually stems from a genetic mutation that affects the development of bone and cartilage and undermines physical growth.
The parents may not have short stature, but they may pass on a condition that is linked to DSS, such as achondroplasia, mucopolysaccharide disease, and spondyloepiphyseal dysplasia (SED).
Types
There are different types and causes of short stature, or restricted growth, and they will present differently. Because the range of conditions is so broad, restricted growth can be classified in various ways.
One categorization is:
• Variant restricted growth
• Proportionate short stature (PSS)
• Disproportionate short stature (DSS)
Each of these categories includes a number of types and causes of short stature.
Variant restricted growth
Sometimes a person is small but otherwise healthy. This can be referred to as variant restricted growth. It may happen for genetic or hormonal reasons.
If the parents are also small, this can be called familial short stature (FSS). If it stems from a hormonal issue, it is a constitutional delay in growth and adolescence (CDGA).
The limbs and the head develop in proportion with the spine, and the individual is otherwise healthy.
Growth happens throughout the body, so the legs, for example, are in proportion with the spine.
In most cases, the individual's parents are also small, but sometimes small stature happens because the body does not produce enough growth hormone (GH), or the body does not process growth hormone properly. This is known as GH insensitivity. Hypothyrodism can lead to low hormone production.
Growth hormone treatment during childhood may help.
Proportionate short stature (PSS)
Sometimes, overall growth is restricted, but the person's body is in proportion, and the individual has a related health problem. This is known as proportionate short stature (PSS).
If the individual is heavy for their height, this can suggest a hormone problem. The problem could be hypothyroidism, excess glucorticoid production, or too little GH.
A person who is small and their weight is low for their height may be experiencing malnutrition, or they may have a disorder that leads to malabsorption.
Whatever the underlying reason, if it affects overall growth, it may impact development in at least one body system, so treatment is needed.
During adulthood, a person with this type of restricted growth is more likely to experience:
• osteoporosis
• cardiovascular problems
• reduced muscle strength
Rarely, there may be cognitive problems, or problems with thinking. This depends on the cause of the short stature.
Disproportionate short stature (DSS)
Disproportionate short stature (DSS) is linked to a genetic mutation. The parents are usually of average height. As with other types of short stature, a range underlying causes is possible.
An individual with DSS will be small in height, and they will have other unusual physical features. These may be visible at birth, or they may develop in time as the infant develops.
Most individuals will have an average-sized trunk and short limbs, but some people may have a very short trunk and shortened, but disproportionately large limbs. Head size may be disproportionately large.
Intelligence or cognitive abilities are unlikely to be affected unless the person has hydrocephalus, or too much fluid around the brain.
Achondroplasia underlies around 70 percent of cases of DSS. It affects around 1 in 15,000 to 1 in 40,000 people.
Features include:
• an average-sized trunk
• short limbs, especially the upper arms and legs
• short fingers, possibly with a wide space between the middle and ring fingers
• limited mobility in the elbows
• a large head with a prominent forehead and flattened bridge of the nose
• bowed legs
• lordosis, a progressive development of a swayed lower back
• average adult height of 4 feet, or 122 cm
Hypochondroplasia is a mild form of achondroplasia. It may be difficult to differentiate between familial short stature and achondroplasia.
Achondroplasia and hypochondroplasia result from a genetic mutation.
Genetic conditions, such as Turner syndrome, Down syndrome, or Prader Willi syndrome, are also linked to DSS.
Diagnosis
Some types of short stature can be diagnosed at birth. In other cases, routine visits to a pediatrician should reveal any abnormal growth pattern.
The doctor will record the child's head circumference, height, and weight.
If the doctor suspects restricted growth, they will carry out a physical examination, look at the child's medical and family history, and possibly carry out some tests.
These may include:
An x-ray, to assess for problems with bone development
An insulin tolerance test, to check for a deficiency in the growth hormone insulin-like growth factor-1 (IGF-1).
In this test, insulin is injected into a vein, causing blood glucose levels to drop. Normally, this would trigger the pituitary gland to release growth hormone (GH). If GH levels are lower than normal, there may be a GH deficiency.
Other tests include:
• a thyroid-stimulating hormone test, to check for hypothyroidism
• a complete blood count, to test for anemia
• metabolic tests, to assess liver and kidney function
• erythrocyte sedimentation and C-reactive protein tests, to assess for inflammatory bowel disease
• urine tests can check for enzyme deficiency disorders
• tissue transglutinase and immunoglobulin A tests, for celiac disease
• imaging scans, such as an x-ray of the skeleton and the skull or an MRI, can detect problems with the pituitary gland or hypothalamus
• bone marrow or skin biopsies may help confirm conditions associated with short stature
Treatment
Treatment will depend on the cause of the short stature.
If there are signs of malnutrition, the child may need nutritional supplements or treatment for a bowel disorder or other condition that is preventing them from absorbing nutrients.
If growth is restricted or delayed because of a hormonal problem, GH treatment may be necessary.
Pediatric hormone treatment: In children who produce too little GH, a daily injection of hormone treatment may stimulate physical growth later in life. Medications, such as somatropin, may eventually add 4 inches, or 10 centimeters, to adult height.
Adult hormone treatment
: Treatment for adults can help protect against complications, for example, cardiovascular disease and low bone mineral density.
Somatropin, also known as recombinant GH, might be recommended for people who:
• have a severe growth hormone deficiency
• experience impaired quality of life
• are already receiving treatment for another pituitary hormone deficiency
Adult patients generally self-administer daily with an injection.
Adverse effects of somatropin include headache, muscle pain, edema, or fluid retention, problems with eyesight, joint pain, vomiting, and nausea.
The patient may receive treatment to control chronic conditions, such as heart disease, lung disease, and arthritis.
Treatment for DSS
As DSS often stems from a genetic disorder, treatment focuses mainly on the complications.
Some patients with very short legs may undergo leg lengthening. The leg bone is broken and then fixed into a special frame. The frame is adjusted daily to lengthen the bone.
This does not always work, it takes a long time, and there is a risk of complications, including:
• pain
• the bone forming badly or at an inappropriate rate
• infection
• deep vein thrombosis (DVT), a blood clot in a vein
Other possible surgical treatments include:
• use of growth plates, where metal staples are inserted into the ends of long bones where growth takes place, to help bones grow in the right direction
• inserting staples or rods to help the spine form the right shape
• increasing the size of the opening in the bones of the spine to reduce pressure on the spinal cord
Regular monitoring can reduce the risk of complications.
Complications
A person with DSS may experience a number of complications.
These include:
• arthritis later in life
• delayed mobility development
• dental problems
• bowed legs
• hearing problems and otitis media
• hydrocephalus, or too much fluid in the brain cavities
• hunching of the back
• limb problems
• swaying of the back
• narrowing of the channel in the lower spine during adulthood and other spine problem
• sleep apnea
• weight gain
• speech and language problems
Individuals with proportionate short stature (PSS) may have poorly developed organs and pregnancy complications, such as respiratory problems. Delivery will normally be by cesarean section.
Outlook
Most people with short stature will have a normal life expectancy, and 90 percent of children who are small for their age at 2 years will "catch up" by adulthood.
The 10 percent who do not catch up are likely to have a condition such as fetal alcohol, Prader-Willi, or Down syndrome.
A person with achondroplasia can also expect a normal lifespan.
However, some serious conditions that are linked to some cases of short stature can be fatal.
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Sometimes I think out of the box, sometimes I think about what I can do with a box!
Enjoyed a wonderful day with our students and parents as they enjoyed crafting and thinking out of the box ideas with cardboard under the warm winter sun!
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