Pinnacle Blooms Network at Visakhapatnam - #1 Autism Therap

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Pinnacle Blooms
@ Visakhapatnam

Empowering children with everything child needs, to-be self-sufficient for becoming natural part of the mainstream society, schools & be accepted as what they are, so that children can earn bright future.

Our soul purpose of existence is: enriching families with effective skills & intervention strategies for overall development of the children through hand crafted programs by industry experts leading to overall development of the child thus happy families.

Testimonials

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Team

Tarapalli Rani

Behavioural Therapist, Visakhapatnam

Aswathi Anand

Speech Therapist, Visakhapatnam

Dr.Medisetti. L. S. Venkata durga

Occupational Therapist, Visakhapatnam

P. Chandini supriya

Behavioural Therapist, Visakhapatnam

Komala Kumari

CEO, Pinnacle @ SR Nagar, Pinnacle @ Vishakhapatnam, Visakhapatnam

Satyajit Nayak

Occupational Therapist, Visakhapatnam

Saragada esterurani

Occupational Therapist, Visakhapatnam

B. Keerthana

Occupational Therapist, Visakhapatnam

Indeti. Ascharya

Special Educator , Visakhapatnam

Jessica Brassett

Behavioural Therapist, Visakhapatnam

Sade Akhila

Occupational Therapist, Visakhapatnam

D Noor Babu

Speech Therapist, Visakhapatnam

Pogiri.Swathi

Behavioural Therapist, Visakhapatnam

Srujana Maddala

Occupational Therapist, Visakhapatnam

Ravali

Special Educator , Visakhapatnam

Anuradha

Admin Manager, Visakhapatnam

Chidipothu Harish

Admin Manager, Visakhapatnam

VARADA RAMAKRISHNA

Special Educator , Visakhapatnam

MADDI VENKATA KOMALI

Behavioural Therapist, Visakhapatnam

pinnacle jagadamba

Admin Manager, Visakhapatnam

Gandeti Tejaswini

Speech Therapist, Visakhapatnam

Dr. Boopathy (occupational Therapist)

Occupational Therapist, Visakhapatnam

Updates

OBSESSION

6/6/2023 10:47:03 AM

Pinnacle Staff @ Visakhapatnam:
Today Collab topic : OBSESSION
Prepared by. : T Rani
(behavioural therapist) jagadamba facility.

What's compulsive- obsessive complaint in children? compulsive- obsessive complaint( OCD) is a type of anxiety complaint. prepossessions are recreating studies. forces are recreating actions. A child with OCD has compulsive studies that aren't wanted. They're linked to fears, similar as touching dirty objects. He or she uses obsessive rituals to control the fears, similar as inordinate handwashing. As children grow, rituals and compulsive studies typically be with a purpose and concentrate grounded on age. Preschool children frequently have rituals and routines around refections, bathing, and bedtime. These help stabilize their prospects and view of their world. School-aged children frequently produce group rituals as they learn to play games, take part in platoon sports, and recite rhymes. Aged children and teens start to collect objects and have pursuits. These rituals help children to fraternize and learn to deal with anxiety. When a child has OCD, compulsive studies and obsessive rituals can come veritably frequent and strong. They may intrude with diurnal living and normal development. OCD is more common in teens. What causes OCD in a child? The cause of OCD isn't known. Research suggests it’s a brain problem. People with OCD do n’t have enough of a chemical called serotonin in their brain. OCD tends to run in families. So it may be inheritable. But it may also do without a family history of OCD. In some cases, streptococcal infections may spark OCD or make it worse. What are the symptoms of OCD in a child? Each child may have different symptoms. These are the most common symptoms An extreme preoccupation with dirt or origins Repeated dubieties, similar as whether or not the door is locked snooping studies about violence, hurting or killing someone, or harming oneself Long ages of time spent touching effects, counting, and allowing about figures and sequences obsession with order, harmony, or fineness Ongoing studies about doing descent sexual acts or interdicted, impermissible actions Troubled by studies that are against particular religious beliefs A great need to know or flash back effects that may be veritably minor Too important attention to detail Too much fussing about commodity bad being Aggressive studies, urges, or actions Checking and rechecking numerous times, similar as making sure that a door is locked Following firm rules of order, similar as putting on clothes in the veritably same order each day Hoarding objects Counting and relating a lot Grouping objects or putting effects in a certain order Repeating words spoken by oneself or others Asking the same questions again and again constantly using four- letter words or making rude( stag) gestures Repeating sounds, words, figures, or music to oneself The symptoms of OCD may feel like other health problems. Have your child see his or her healthcare provider for a opinion How is OCD treated in a child? Treatment will depend on your child’s symptoms, age, and general health. It'll also depend on how severe the condition is. Treatment for OCD frequently includes a combination of the following remedy with cognitive and behavioral styles. Cognitive styles help a child identify and understand his or her fears. They also educate a child new ways to more resolve or reduce those fears. Behavioral styles help the child and their family make pacts or rules to limit or change actions. One illustration is setting a maximum number of times a obsessive handwasher may wash his or her hands. Family remedy. Parents play a vital part in any treatment process. A child’s academy may also be included in care. picky serotonin reuptake impediments( SSRIs). These drugs help raise serotonin situations in the brain. Antibiotics. Your child may need these drugs if his or her OCD is set up to be linked to a streptococcal infection. Teens with OCD may also have one or further types of eating diseases. These will also need treatment.

How can I help help OCD in my child? Experts do n’t know at this time how to help OCD in children and teens. But if you notice signs of OCD in your child, you can help by getting an evaluation as soon as possible. Early treatment can ease symptoms and enhance your child’s normal development. It can also ameliorate his or her quality of life.

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Muller fisher syndrome

6/5/2023 10:40:34 AM

Today's Collab Topic: Muller fisher syndromePrepared by S.E.Rani(OT)
Jagadamba Facility

Miller Fisher pattern is a veritably rare whim-whams complaint that’s related to Guillain- Barré pattern( GBS). Guillain- Barré pattern affects about one in 100,000 people. In theU.S., it’s estimated that 3,000 to 6,000 people develop Guillain- Barré pattern each time. Miller Fisher pattern is a variant of Guillain- Barré pattern. It’s rarer than Guillain- Barré pattern. In Western countries, it makes up about 1 to 5 of all Guillain- Barré pattern cases. The proportion is advanced in some East Asian countries. Up to 19 of GBS cases in Taiwan and over to 25 of cases in Japan are Miller Fisher pattern cases.
What Are the Causes of Miller Fisher Syndrome? Both Miller Fisher pattern and Guillain- Barré pattern develop in response to an illness. The illness triggers antibodies to attack your jitters. Experts are n’t sure why this happens. Miller Fisher pattern generally develops a many days or over to 4 weeks after an illness, especially a diarrheal complaint or respiratory infection. announcement Campylobacter jejuni is a common species of bacteria that triggers Miller Fisher pattern and Guillain- Barré pattern. These bacteria may beget diarrhea and abdominal pain. Contagions that spark both conditions include Zika Human immunodeficiency contagion( HIV) Epstein- Barr( mononucleosis)
What Are the Symptoms of Miller Fisher Syndrome? People generally seek medical help because their vision decreases fleetly over days. They may also have difficulty walking. The three main symptoms of Miller Fisher pattern are Weakness of your eye muscles, which leads to double vision and difficulty controlling eye movements( ophthalmoplegia) Problems with branch collaboration( ataxia) Loss of revulsions in your tendons( areflexia) Some people may also have dilated or enlarged pupils weakness in their facial muscles a dropped monkeyshine kickback still, you may have GBS- MFS imbrication pattern, If you have these symptoms and also develop weakness in your breathing muscles and branches. The main symptom of Guillain- Barré pattern is weakness that begins in your legs and spreads to your arms and body. In some people, this weakness spreads to the face, throat, and breathing muscles. How Is Miller Fisher Syndrome Diagnosed? It can be hard to diagnose this pattern because it's analogous to several other neurological conditions like rudimentary meningitis Botulism Diphtheria Brainstem stroke Brainstem encephalitis Myasthenia gravis
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ADAPTATION FOR CWLD

6/2/2023 10:01:53 AM

Collab topic name : ADAPTATION FOR CWLD
Prepared by I.Ascharya (Special educator), Jagadamba, facility, visakhapatnam

Curriculum adaptation involves differentiation to meet the needs of all students. The content, the teaching process, assessment and evaluation, and the physical environment may be modified to help students to achieve success in the classroom.Accommodations is a type of adaptation that creates a personal learning environment for a child by altering instruction, classroom environment, assessment and/or other materials and attributes in order to provide a student with a disability an equal opportunity to participate in class activities and demonstrate .
Adaptations are changes in the way instruction and assessment are carried out to allow a learner equal opportunity to demonstrate mastery of concepts and achieve the desired learning outcomes. They are made to meet a student’s needs as identified on an individualized education plan
Best Ways of Learning You have been the one who witnessed your child’s developmental milestones, day-to-day behaviors, academic struggles and affinities, as well as interactions in a variety of social.
Adaptations are the changes that will be made to accommodate a special needs student and facilitate learning. In an individual education plan (IEP) for a child who needs special education certain things will be stated, including the adaptations. There will be no changes to the curriculum the child is expected to learn but there will be adaptations to bridge the gap between the student's disability and the ability to learn the required information. Children who require special education may be switched to a special classroom with other children who need special education or might be kept in a general education classroom. Being switched to a special education classroom can be an adaptation, other adaptations include having tests read to them, or having information presented orally, and additional time to complete tests or assignments.
Adaptations are changes permissible in environments which allow the student equal opportunity to obtain access, results, benefits, and levels of achievement. These adaptations consist of both accommodations and modifications. Adaptation fall under four major categories What the student needs to learn.
An adaptation is a change to curriculum, instruction, or testing format or procedures that. instruction, or assessments that fundamentally. allow a student to demonstrate their abilities.
A student’s surroundings can have a huge impact on how he or she learns. Be mindful of and responsive to students with sensory and attention issues, and make changes to the learning environment to meet their needs.
For some learners, you may want to modify or reduce the requirements of assignments. And be sure to give all your learners multiple means of action and expression (the third pillar of the UDL framework). Let them show what they know in a variety of innovative ways, depending on how they best express themselves
For learners who need extra support with some tasks, enlist helpers such as peers, a special educator, or a paraprofessional. They can provide assistance in a variety of ways, depending on the learner’s needs

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What is voice disorder Prepared

6/1/2023 10:59:58 AM

Todays collab topic: What is voice disorder
Prepared by Aswathi Anand (speech therapist)

The human voice is a remarkable instrument that allows us to communicate, express emotions, and connect with others.

However, there are instances when this vital tool may malfunction, leading to a condition known as a voice disorder.

Voice disorders can significantly impact a person's quality of life, affecting their ability to speak, sing, or even be heard clearly.

What are Voice Disorders?

Voice disorders encompass a range of conditions that affect the production, quality, and control of one's voice.

These disorders can arise from various factors, including physical, functional, or neurological abnormalities.

Voice disorders can affect people of all ages, from children to adults, and can be temporary or chronic in nature.

Symptoms of Voice Disorders:

Voice disorders can manifest in a variety of ways, and the symptoms may vary depending on the underlying cause.

Common symptoms include:

1. Hoarseness or roughness in the voice

2. Breathiness or weak voice
Vocal fatigue or strain after speaking for short durations

3. Pitch breaks or voice cracking
Reduced volume or inability to project the voice

4. Pain or discomfort in the throat while speaking or singing

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AUTISM SMILE AND ATTACHMENT STYLES

5/31/2023 10:02:05 AM

Today's Collab Topic is :-AUTISM SMILE AND ATTACHMENT STYLES Is Prepared By P.Swathi (Behaviour Therapist), Jagadamba Fecility, Vizag.
Autism Attachment Styles:-
Autism and attachment difficulties and suggests innovative results grounded on expression. presently, clinicians express difficulties in secerning between these conditions contributing to misdiagnosis. Research into the frequence of attachment difficulties among children with autism frequently fails to reflect detailed knowledge of attachment proposition. Accordingly, studies in this area employ questionable variations to attachment measures and styles of analysis. The findings of similar studies are confusing and inconsistent. Children with autism and their parents are, still, known to be at high threat of developing insecure attachment patterns. Clinical assessments grounded on expression may be helpful in these cases, as they include consideration of experimental and relational factors contributing to symptom donation. Research suggests that where parents of children with autism establish secure connections with their children issues are bettered. Accordingly, interventions, which ameliorate dyadic coincidence and perceptivity of parents, are likely to profit families living with autism and attachment difficulties. Autistic complaint is a neuropsychiatric complaint which begins in the first times of life with detainments and deviance in social, communicative and cognitive development and with defined force of conditioning and interests. It's allowed that autistic children don't form attachments to parents or caregivers because of their difficulties in social commerce. Yet, the findings of the studies demonstrate attestations for the actuality of attachment between autistic children and their caregivers. The end of the present study is to review the studies that examine the attachment actions in autism. Autistic children show analogous attachment actions when compared to children with normal development, children with other psychiatric diseases, children with Down pattern and mentally retarded children. Children with autism prefer their maters to nonnatives and attempt to remain close to them as much as other children. still they don't engage in attention sharing actions similar as pointing or showing objects. They also don't feel to fete the meaning of facial expressions and feelings. Although autism doesn't count the development of secure attachment connections, it may delay the development of secure attachment and change the behavioral patterns related with attachment security. It's concluded that the mindfulness of the parents and the clinicians might help to establish treatment .
That save and ameliorate the attachment actions of autistic children. The effect on parenthood style of ASD children At 9 months predicts growth in child social engagement( i.e., social smiling) between 9 and 18 months during a free- play commerce in babies at high( HR- babies) and low( LR- babies) domestic threat for Autism Spectrum complaint( ASD). Results indicated that across all babies, advanced situations of motherly responsiveness were coincidently associated with advanced situations of social smiling, while advanced situations of motherly directiveness prognosticated slower growth in social smiling. When counting for motherly directiveness, which was advanced in maters of HR- babies, HR- babies displayed lesser growth in social smiling than LR- babies. Overall, each parenthood style appears to make a unique donation to the development of social engagement in babies at high- and low- threat for ASD.

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posterior interosseous nerve injury

5/30/2023 10:28:34 AM

Today Collab topic (OT)
Prepared by : S. Akhila, jagadamba facility, vizag.

Topic:-POSTERIOR INTEROSSEOUS NERVE INJURY

Description/ Description: Posterior interosseous whim-whams pattern is a neuropathic contraction of the posterior interosseous whim-whams where it passes through the radial lair. This may affect in paresis or palsy of the digital and thumb extensor muscles, performing in an incapability to extend the thumb and fritters at their metacarpophalangeal joints. Wrist extension is saved due to the action of the extensor carpi radialis longus innervated by the radial whim-whams. Radial nerv Clinically Applicable deconstruction The posterior interosseous whim-whams is located near to shaft of the humerus and the elbow. This whim-whams is the deep motor branch of the radial whim-whams. Proximal to the supinator bow, the radial whim-whams is divided into a superficial branch and posterior interosseous branch. The radial whim-whams supplies the maturity of the forearm and hand extensors. Damage to this branch of the radial whim-whams results in posterior interosseous whim-whams pattern. The radial lair is a space that extends 5 cm from the radial head to the distal periphery of the supinator. This lair is attached indirectly to the brachioradialis, extensor carpi radialis longus( ECRL) and extensor carpi radialis brevis( ECRB) and medially to the biceps tendon and brachialis. The bottom is formed by the deep head of the supinator and the capsule of the radiocapitellar joint, while the roof is formed by the superficial head of the supinator and the radial intermittent vessels. At the position of the side epicondyle, between the brachioradialis and brachialis muscles, the radial whim-whams, which has its origin in the brachial supersystem, divides into its 2 terminal branches the superficial radial whim-whams and the posterior interosseous whim-whams. The superficial radial whim-whams ends proximal to the radial lair. The posterior interosseous whim-whams is much longer and enters the radial lair underneath a musculotendinous bow, the hall of Frohse. The hall of Frohse, which is the most common point of contraction, is a connection between the deep and superficial heads of the supinator and is fibrotendinous in 30 to further than 80 of the population. The posterior interosseous whim-whams continues in the radial lair through the supinator, as it goes from the anterior to the posterior face of the forearm. The posterior interosseous whim-whams is a motor whim-whams and successionally innervates supinator, extensor carpi radialis brevis, extensor digitorum communis, extensor digiti minimi, extensor carpi ulnaris, abductor pollicis, extensor pollicis brevis, extensor pollicis longus, and extensor indicis.
Epidemiology/ Etiology: Supinator muscle with posterior interosseous whim-whams passing deep via the Arcade of Frohse Posterior interosseous whim-whams pattern is more common in males, homemade labourers and bodybuilders, with an prevalence of 3 per 100 000. With a humeral shaft fracture, there's a 12 chance of associated with radial whim-whamsparalysis.Proximal forearm fractures can also affect in posterior interosseous whim-whams paralysis. Posterior interosseous whim-whams pattern can be caused by a traumatic injury, excrescences, inflammation and an anatomic injury. With repeated pronation and supination a dynamic contraction of the whim-whams in the proximal part of the forearm can be created. Posterior interosseous whim-whams pattern generally develops spontaneously and is caused by contraction injuries to the upper extremity, substantially in the hall of Frohse. It's the area where the whim-whams enters the supinator muscle and is the most common place for a contraction of the whim-whams. still, it can also do following trauma, similar as a blow to the proximal rearward region of the forearm. smash of the radial whim-whams results in posterior interosseous whim-whams pattern.

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Monda's smiles

5/29/2023 10:28:10 AM

Monday all smiles at Pinnacle Blooms network jagadamba Facility 29th may 2023.

We wish you all a wonderful week ahead. Best empowerment to your kids from #1 Autism Treatment, Child Development, Rehabilitation Centres Network.

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Trouble swallowing

5/26/2023 10:32:14 AM

TODAY'S COLLAB TOPIC :
TROUBLE SWALLOWING
Difficulty swallowing was a symptom of many different medical conditions. Those conditions could include nervous system & brain disorder,muscle disorder,and physical blockages in the throat. Treatment to swallowing issues varies depending on the cause of issue, but it inculde antibiotics, changes in your eating habits and sometimes surgery.Dysphagia was simply defined as a swallowing disorder. It could occur on the any of the 3 phases in swallowing:
=Oral
=Pharyngeal
=Esophageal
Dysphagia was noted in stroke survivors and could affect the oral and pharyngeal phase of swallowing. The patient may coguh and choke while attempting to swallow saliva and liquids and food. A speech-language patholoigst often assessses a patient’s ability to swallow in order determine the risk of aspiration , which potentially may lead a lung infection or pneumonia.
Stroke survivors were at the risk for silent aspiration. Silent aspiration is when food & liquid enter into the lungs without any coughing or choking. In these patients, there are no outward signs were symptoms of a swallowing problem
When we swallow, many musclse and nerves work together to get food or drink frfrothe mouths into the stomachs. Trouble with swallowing can originate anywhere in the mouth, throat or esophagus. The esophagus was a muscular tube in your throat that carries food and water to your stomach.
Swallowing problems will be mild or severe. The treatmetn varies depending on the what’s causing the problem.

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emotional stages of child development.

5/25/2023 11:55:05 AM

Today's Collab topic ; emotional stages of child development.
Prepared by Komali
Behavior therapist
Jagadamba, vizag.
Some suppose we're born with only three feelings happiness, wrathfulness and fear. Others believe that babies are able of feeling a important wider range from birth. It’s insolvable to know for sure when they ca n’t tell us, but through crying and curring, babies clearly communicate commodity. At this stage, an child is discovering the world — good effects like cuddles, bad effects like full diapers. They're noticing how everything makes them feel.

How to foster growth in this stage
produce a safe, harmonious terrain. This is the launch pad from which children can feel confident enough to explore and express themselves. When they know that you'll be there for them, they're more likely to take the pitfalls necessary for development.
Encourage tone- soothing. Though some are quick to discourage actions like thumb stinking, this helps children soothe themselves and is the first step to regulating emotion. It can be delicate not to step by and fix the issue, but if you want a child to be suitable to manage their feelings latterly on, it's important to let them figure some effects out on their own.
Show your emotion. No matter what stage, children image their caregivers. By matching a child’s facial expressions and vocalizing your passions, you can help a child notice both their feelings and yours. This will also help you exercise being an emotional part model.

Expressing feelings Two to three
As children develop a vocabulary and further independence, they will experiment with expressing emotion in new ways. Some of it'll be productive like drawing and chronicling a picture of the scary monster under the bed. Some of it'll be more like throwing a hissy in the grocery store because they ca n’t get rubbish airs. This can be a veritably delicate stage for grown-ups as children experience complex feelings but haven't yet figured out healthy versus unhealthy expression.

How to foster growth in this stage
Stay calm when they are n’t. explosions will be. They're a normal part of development. As a toddler’s passions overrun their capability to express them, they will do so in the only way they know how. Your job is to help them find a better way, and you ca n’t do that when you ’re giving into explosions or having one yourself.

One of the stylish ways to help children learn about emotion is through story. This not only provides emotional vocabulary but puts it into a creative environment.

give positive underpinning. There's clearly a time for the words “ No, ” “ Do n’t, ” and “ Stop, ” but if those are the only words you use, they can snappily lose power. Celebrate the little ways that children make progress. By pointing out when they use their words or conduct to appreciatively express themselves rather of riots and kicks, you can make their tone- confidence and encourage them to grow.

Managing feelings Three to five
At this stage, children are ready to enter preschool. A new social terrain and further independence provides a great occasion for growth but also poses some new challenges. participating, harkening and playing together can beget disunion between children, and since they can not calculate on their parents all the time presently, they must develop new managing chops to manage on their own. Preschool caregivers play a vital part in this development as they produce a safe space and offer guidance.

How to foster growth in this stage
Give them strategies. Just as babies stink their fritters or hold their robes, preschoolers use palpable ways to deal with their impalpable feelings. Going to a quiet place, deep breathing, and coloring are each good strategies. The thing is to help children learn what works for them.

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Mirracles

Pinnacle Promise by Satyajit Nayak, Occupational Therapist Pinnacle @ Visakhapatnam Narrated in Hindi

Pinnacle Blooms Network 75th Independence Day Promise by Satyajit Nayak, Occupational Therapist of Pinnacle @ Visakhapatnam in English

Pinnacle Blooms Network 75th Independence Day Promise by Satyajit Nayak, Occupational Therapist of Pinnacle @ Visakhapatnam in Odiya

Pinnacle Blooms Network 75th Independence Day Promise by Satyajit Nayak, Occupational Therapist of Pinnacle @ Visakhapatnam in Hindi

Pinnacle Blooms Network 75th Independence Day Promise by Syed zameerul abrar, Speech Therapist of Pinnacle @ Visakhapatnam in English

Pinnacle Blooms Network 75th Independence Day Promise by B. Keerthana, Occupational Therapist of Pinnacle @ Visakhapatnam in English

Pinnacle Blooms Network 75th Independence Day Promise by B. Keerthana, Occupational Therapist of Pinnacle @ Visakhapatnam in Telugu

Pinnacle Blooms Network 75th Independence Day Promise by Maddala srujana, Occupational Therapist of Pinnacle @ Visakhapatnam in English

Pinnacle Blooms Network 75th Independence Day Promise by Maddala srujana, Occupational Therapist of Pinnacle @ Visakhapatnam in Telugu

Dr.Satyajit Nayak Star Therapist Award for April 2022 Narrated in Odiya

Dr.Satyajit Nayak Star Therapist Award for June 2022 Narrated in Odiya

Dr.Satyajit Nayak Star Therapist Award for April 2022 Narrated in English

Pinnacle Blooms Network 75th Independence Day Promise by Medisetti. L. S. Venkata durga, Occupational Therapist of Pinnacle @ Visakhapatnam in Telugu

Pinnacle Promise by Yaswanthi Devi Vanapalli, Speech Therapist Pinnacle @ Visakhapatnam Narrated in Hindi

Pinnacle @ Visakhapatnam

Door No. 28-10-4, revenue Ward No. 27, 3 Rd.floor, Vasavi Plaza, Opposite Tochitralaya Inox Theatres, very Near To Jagadamba Theatre, visakhapatnam - 530020

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#1 Autism Therapy Centres Network, Core purposed to be empowering 80+ crore kids, people with sensorial conditions to be Self-Sufficient, to be part of Mainstream Society, Have wonderful life plaussible.. Bring smiles into their families through innovative life changing therapeutic solutions in Speech Therapy, Occupational Therapy, ABA Therapy, Behavioral Therapy, 12+ more.

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Pinnacle Blooms Network - #1 Autism Therapy Centres Network offering life changing Speech Therapy, Occupational Therpay, ABA / Behavioral Therapy, 12+ more innovative therapeutic empowerment, Bringing Best Speech Therapist, Occupational Therapist, ABA Therapist near you in Delhi, Mumbai, Bengaluru, Hyderabad, Vijayawada, Visakhapatnam, Chennai, Dubai, Singapore.