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Frequently Asked Questions

Will I pass NPS on to my baby?

Frequently Asked Questions
Once NPS is in the family, the risk of transmitting the disorder from parent to offspring is 50% for each pregnancy, regardless of the sex of the child.
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How is NPS transmitted?

Frequently Asked Questions
NPS is transmitted as a simple autosomal dominant trait. The gene altered in people with NPS is called LMX1B and is located on chromosome 9q34.
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Are there any other names for NPS?

Frequently Asked Questions
Other names for NPS include: Iliac Horn Syndrome, Hereditary Onycho Osteo Dysplasia (HOOD), Fongs Disease, and Turner Kieser Syndrome.
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I am traveling with a small baby. Do I need a separate boarding pass for the child?

Northwest Airlines nwa.com - Talk To Us
When traveling with a child under 2 years old within the United States/Puerto Rico/US Virgin Islands and Canada, you have the option to carry the baby in your lap or purchase a separate ticket for an adjoining seat. A separate boarding pass will not be issued for an infant traveling in your lap. However, a boarding pass will be issued for an infant traveling on a separate seat. Children 2 years and older are required to purchase a seat.
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What is the National Pharmaceutical Stockpile (NPS)?

NOVA Online | Bioterror | Frequently Asked Questions
The NPS is a large reserve of antibiotics, chemical antidotes, and other medical supplies set aside for emergencies. The Centers for Disease Control and Prevention reports that it has the capacity to move these stockpiled materials to affected areas in the U.S. within 12 hours of notification. There are eight different stockpiles, strategically located around the country.
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What is Nail Patella Syndrome (NPS)?

Frequently Asked Questions
Nail Patella Syndrome is a rare genetic disorder involving the bones, joints and connective tissue. Patients may have problems due to limitation of joint mobility, dislocation or both, especially at the elbow and knee where osteoarthritis may eventually occur. Renal impairment is present in approximately 30-50% of cases. Recent evidence suggests that open angle Glaucoma is also part of Nail Patella Syndrome.
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Can I have NPS without a family history?

Frequently Asked Questions
Yes, in cases where there seems to be no previous family history of NPS, it is thought to be caused by a spontaneous gene mutation.
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Which abnormality is most frequently associated with NPS?

Frequently Asked Questions
The most noticeable skeletal defect associated with NPS is absent or underdeveloped fingernails (and sometimes toenails). Abnormalities occur in 98% of cases. The thumbnails are usually the most severely affected. Nails may be absent, brittle, cracked or split, ridged, discolored, and often concave.
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My nails do not appear to be affected. Can I still have NPS?

Frequently Asked Questions
In cases where the nails don't appear to be affected, closer examination of the lunulae (the light parts of the nails near the cuticle), reveals a pointed (triangular) shape as opposed to a rounded cresent "half moon" shape. The presence of triangular lunulae indicates NPS.
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How are knees affected in NPS patients?

Frequently Asked Questions
Absence or hypoplasia of the kneecaps (patella) and deformities of the knee joint may give the knee a square appearance. The joint may be unstable due to malformations in the bones, muscles and ligaments. Dislocation of the knee joint may occur. Knee abnormalities are present in approximately 92% of cases.
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How are the elbows affected in NPS patients?

Frequently Asked Questions
Elbow abnormalities occur in approximately 90% of cases. The joints and bones in the forearm are often deformed, causing incomplete extension due to dislocation of the elbow joints, resulting in reduced mobility and restriction of wrist rotation. Hypoplastic capitellum and small head of radius may occur with contractures (skin and tissue tightened across joints), This may give the elbow a webbed appearance.
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What is the course of NPS over time?

Frequently Asked Questions
Symptoms vary from person to person and for one person through time. The long term course is extremely variable. One person may present mild symptoms, while another person may become wheelchair bound or require a kidney transplant. The severity of NPS can vary as much within a family as between unrelated people. There is no known correlation between specific LMX1B mutations and symptoms of NPS.
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What kidney problems are associated with NPS?

Frequently Asked Questions
Renal (kidney) impairment in NPS occurs in approximately 30-50% of cases. Renal problems in childhood are rare, but do occur. Renal failure is apparently rare prior to the fourth decade. Proteinuria with or without hematuria is the most common early indication of a renal problem. Studies and microscopic observations show hyaline thickening of the glomerular basement membrane presenting a "moth-eaten" appearance.
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Can NPS affect my vision?

Frequently Asked Questions
Recent evidence suggests that open angle glaucoma is also part of NPS. Open angle Glaucoma is a condition caused by progressive blockage of the outflow of fluid from the front chamber of the eyes which can result in elevated intraocular pressure leading to narrowing of the visual field (tunnel vision) and eventually blindness if left untreated. Other ocular abnormalities occasionally associated with NPS include Keratoconus, Microcornea, Microphakia, cataracts and Ptosis.
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What other anomalies are sometimes associated with NPS?

Frequently Asked Questions
Some anomalies that may be associated with NPS include hyperthyroidism, irritable bowel syndrome, recurrent urinary tract infections, dental problems, tilted uterus, attention deficit disorder, aplasia of pectoralis minor, biceps, triceps and quadriceps, and spine, rib and shoulder abnormalities. Children with NPS should be followed closely for Scoliosis.
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If I am pregnant and have genital herpes, will I pass it on to my baby?

Frequently Asked Questions about Herpes
Women with genital herpes can have healthy babies. However, it is possible, if you become infected during pregnancy or you have an outbreak at the time of delivery, to transmit the infection to your baby. Therefore, it is particularly important to take appropriate precautions to prevent becoming infected during pregnancy, particularly if your partner has genital herpes and you don't.
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How does a pregnant woman pass hepatitis B virus to her baby?

Viral Hepatitis
During the birth, blood from the mother gets inside the baby’s body. A very small number of babies get infected while the infected mother is pregnant. There is no treatment to prevent this from happening.
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Is "Club foot" associated with NPS?

Frequently Asked Questions
Yes, Talipes (club or twisted feet) are seen as a frequent feature in NPS. An Orthopedic surgeon should be consulted. Surgery and/or casting are common methods of intervention in the treatment of "Club foot".
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What is it like to be a student at NPS?

FAQ
There's no duty, and you wear your uniform once per week (Tuesdays). On other days, business casual is required. The course of study is quite challenging. Expect to spend most of your weekdays, Monday through Friday on campus attending classes and studying. Normally you will be taking four courses a quarter and each course usually meets three to four times a week for about an hour.
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Can I complete JPME while at NPS?

FAQ
Many students are interested in taking the Joint Military Professional Education (JPME) course sequence while they are here at NPS, since it is highly valued by the Navy and DoD, although not required for the METOC P-Code. Your primary assignment is to complete your PCode, so JPME work must be done on a not-to-interfere basis.
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What treatments/interventions are available for NPS patients when renal impairment is detected?

Frequently Asked Questions
Some physicians may prescribe medications. In more severe cases, dialysis or kidney transplantation may be needed. Research indicates that kidney disease does not reoccur once the patient undergoes kidney transplantation.
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FAQ #2: How does the fitness report process work here at NPS?

Frequently Asked Questions
Answer to FAQ #2: While attending the Naval Postgraduate School as an in-resident student, you receive non-observed, academic fitness reports for all reporting occasions (annual, grade change, transfer, or semi-annual for lieutenants).
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FAQ #10:What are my PME options/requirements while attending NPS?

Frequently Asked Questions
NPS JPME Requirement. All Naval officers (Navy and Marine Corps) must take NW-3230 "Strategy and Policy: The American Experience," while attending the Naval Postgraduate School. This requirement was established by SECNAVINST 1524.2A in 1989. The good news is that NW-3230 will count toward the first lesson in USMC Command and Staff College: 8801 "The Theory and Nature of War.
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Will my baby's bowel movements be easier to pass?

Questions, answers, Bliss by Mom, Babys Bliss Gripewater
Some reports indicate that some babies have had less trouble with their bowel movements and were not as constipated as previously.
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If a pregnant woman has Hepatitis C will she pass it on to her baby?

C-Level : Glasgow Hepatitis C Support
Perhaps, a Hep C positive mum has only a 5% chance of passing the Hepatitis C virus to her baby when it is being born (A one in twenty risk). Babies born to Hep C positive mums should only be tested at around 18 months old to make sure that any antibodies from the mum will have cleared away.
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What is the status of the NPS Feasibility Study?

Friends of the Captain John Smith Chesapeake National Histor...
On August 2, 2005, President Bush signed bipartisan legislation to authorize the NPS to study the feasibility and desirability of establishing the Captain John Smith Chesapeake National Historic Trail. In March 2006, the National Landmarks Committee and the National Park System Advisory Board found that Smith’s voyages are nationally significant.
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Who is responsible for the survey and who is asked to fill out the NPS?

FAQ | National Physician Survey
The College of Family Physicians of Canada, the Canadian Medical Association, and the Royal College of Physicians and Surgeons of Canada collaborate to survey all physicians, medical students, and second-year residents in Canada in order to get a full spectrum of data.
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