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Down's syndrome, research and practice : the journal of the Sarah Duffen Centre最新文献

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Modelling Down syndrome. 模拟唐氏综合症。
Frank Buckley

Animal models are extensively used in genetics, neuroscience and biomedical research. Recent studies illustrate the usefulness and the challenges of research utilising genetically engineered mice to explore the developmental biology of Down syndrome. These studies highlight many of the issues at the centre of what we understand about Down syndrome, and may one day point to useful ways to improve quality of life for people living with Down syndrome.

动物模型广泛应用于遗传学、神经科学和生物医学研究。最近的研究表明,利用基因工程小鼠来探索唐氏综合症的发育生物学研究是有用的,也是面临的挑战。这些研究突出了我们对唐氏综合症理解的许多核心问题,可能有一天会指出改善唐氏综合症患者生活质量的有用方法。
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引用次数: 8
It is time to take memory training seriously. 是时候认真对待记忆训练了。
Sue Buckley

It has been known for a long while that children with Down syndrome have specific impairments in verbal shortterm memory. Research now indicates that memory training activities may be effective.

很长一段时间以来,人们都知道患有唐氏综合症的儿童在言语短期记忆方面有特殊的缺陷。研究表明,记忆训练活动可能是有效的。
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引用次数: 20
Folate metabolism and the risk of Down syndrome. 叶酸代谢和唐氏综合症的风险。
David Patterson

Folate is an important vitamin that contributes to cell division and growth and is therefore of particular importance during infancy and pregnancy. Folate deficiency has been associated with slowed growth, anaemia, weight loss, digestive disorders and some behavioural issues. Adequate folate intake around the time of conception and early pregnancy can reduce the risk of certain problems including neural tube defects. It has been suggested that certain versions (polymorphisms) of some genes can increase the risk of conceiving a baby with Down syndrome. If this is the case, then people with Down syndrome may be more likely to carry these forms of these genes and to experience associated problems in folate metabolism. Studies to date have found conflicting results, suggesting that these gene variants may be part of a more complex picture. In this issue, a further study reports no association between the presence of a common polymorphism of one of these genes and the risk of having a child with Down syndrome among mothers of Northern Indian origin. This article reviews these challenging findings and looks at where investigations can now go to resolve these issues.

叶酸是一种重要的维生素,有助于细胞分裂和生长,因此在婴儿和怀孕期间尤为重要。叶酸缺乏与发育迟缓、贫血、体重减轻、消化系统紊乱和一些行为问题有关。在怀孕和怀孕早期摄入足够的叶酸可以降低某些问题的风险,包括神经管缺陷。有人认为,某些基因的某些版本(多态性)会增加怀上唐氏综合症婴儿的风险。如果是这样的话,那么患有唐氏综合症的人可能更有可能携带这些形式的基因,并在叶酸代谢方面遇到相关问题。迄今为止的研究发现了相互矛盾的结果,表明这些基因变异可能是更复杂情况的一部分。在本期杂志中,一项进一步的研究报告称,在北印度血统的母亲中,这些基因中的一种常见多态性的存在与生下唐氏综合症孩子的风险之间没有关联。本文回顾了这些具有挑战性的发现,并探讨了调查现在可以解决这些问题的方向。
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引用次数: 54
Wrongful deaths and rightful lives - screening for Down syndrome. 非正常死亡与正当生命——唐氏综合症筛查。
Pub Date : 2008-10-01 DOI: 10.3104/editorials.2087
Frank Buckley, Sue Buckley
Prenatal screening for Down syndrome affects millions of pregnancies every year worldwide. The vast majority of screen-positive results are false, yet encourage invasive diagnostic procedures that pose additional risks to unborn babies. As a direct consequence many babies who do not have Down syndrome are lost. We estimate that current screening practice in England and Wales reduces annual live births of babies with Down syndrome by around 660 and leads to the losses of 400 babies without Down syndrome. Although prenatal diagnoses are becoming more frequent, more babies with Down syndrome are being born (up 25% over 15 years). Considerable attention has been given to studying the performance of competing screening techniques, yet relatively little attention has been given to the consequences for the psychological and physical wellbeing of all parents and their babies. Meanwhile, quality of life for people with Down syndrome continues to improve. In many countries, people with Down syndrome are living longer and achieving more than ever before. The authors urge policymakers to note that the live birth prevalence of Down syndrome continues to rise and that average life expectancy is now approaching 60 years. Accordingly, research and practice priorities should shift from prevention to improving care, education and support for a growing and ageing population. We suggest that policies permitting genetic screening for mental or physical abilities should be reviewed through wide public debate before new prenatal diagnosis and genome sequencing technologies become more readily available.
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引用次数: 38
Prevalence of MTHFR C677T polymorphism in north Indian mothers having babies with Trisomy 21 Down syndrome. 北印度21三体唐氏综合征患儿母亲中MTHFR C677T多态性的患病率
Utkarsh Kohli, Sadhna Arora, Madhulika Kabra, Lakshmy Ramakrishnan, Sheffali Gulati, Ravindra Mohan Pandey

Recent studies have evaluated possible links between polymorphisms in maternal folate metabolism genes and Down syndrome. Some of these studies show a significantly increased prevalence of the C677T polymorphism of the 5,10-methylene tetrahydrofolate reductase (NADPH) gene (MTHFR) among mothers who have had babies with Down syndrome. This study examined the prevalence of the MTHFR C677T polymorphism among 104 north Indian mothers of babies with Down syndrome and 109 control mothers. The prevalence of MTHFR C677T polymorphism observed among mothers of babies with Down syndrome was 28% compared to 35% in controls (C677T/T677T). There was no significant difference between the two groups (p = 0.294). Mean homocysteine level in mothers of children with Down syndrome was lower than the level in the controls. Our data suggests that the MTHFR C677T polymorphism is not associated with an increased risk of Down syndrome in the north Indian population. Homocysteine levels in our study were higher when compared to other studies. Methylcobolamin and folate deficiency or use of random samples for homocysteine determination could possibly account for this observation.

最近的研究评估了母体叶酸代谢基因多态性与唐氏综合征之间的可能联系。其中一些研究表明,在患有唐氏综合症婴儿的母亲中,5,10-亚甲基四氢叶酸还原酶(NADPH)基因(MTHFR) C677T多态性的患病率显著增加。本研究调查了104名北印度唐氏综合症婴儿母亲和109名对照母亲中MTHFR C677T多态性的流行情况。唐氏综合症婴儿的母亲中观察到MTHFR C677T多态性的患病率为28%,而对照组为35% (C677T/T677T)。两组间差异无统计学意义(p = 0.294)。唐氏综合症患儿母亲的平均同型半胱氨酸水平低于对照组。我们的数据表明,MTHFR C677T多态性与北印度人群唐氏综合征风险增加无关。与其他研究相比,本研究的同型半胱氨酸水平较高。甲基钴胺和叶酸缺乏或使用随机样本进行同型半胱氨酸测定可能解释了这一观察结果。
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引用次数: 38
Preventing challenging behaviours in children with Down syndrome: Attention to early developing repertoires 预防唐氏综合症儿童的挑战性行为:关注早期发育的技能
Kathleen M. Feeley, E. Jones
Several characteristics associated with the Down syndrome behavioural phenotype as well as biological factors are likely to increase the presence of challenging behaviour in individuals with Down syndrome. The application of evidenced based strategies assessing and addressing challenging behaviours in individuals with developmental disabilities can be systematically applied to address such behaviours in individuals with Down syndrome. Additionally, evidence based strategies can be systematically implemented by caregivers of very young children with Down syndrome to address early communication skills (requesting, vocal imitation), escape behaviours, and self stimulatory behaviour thus diminishing early developing behaviours likely to lead to more significant challenges as the child with Down syndrome matures.
与唐氏综合症行为表型相关的几个特征以及生物学因素可能会增加唐氏综合症患者的挑战性行为。应用基于证据的策略来评估和解决发育障碍个体的挑战性行为,可以系统地应用于解决唐氏综合征个体的此类行为。此外,年幼唐氏综合症儿童的照顾者可以系统地实施基于证据的策略,以解决早期沟通技巧(请求、声音模仿)、逃避行为和自我刺激行为,从而减少早期发展行为,这些行为可能会在唐氏综合症儿童成熟后导致更重大的挑战。
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引用次数: 10
Number and arithmetic skills in children with Down syndrome 唐氏综合症儿童的数字和算术技能
Sophie Brigstocke, Charles Hulme, Joanna Nye
It is clear that arithmetic and number skills are areas of particular difficulty for individuals with Down syndrome. Studies of arithmetic development in typically developing children suggest that a pre-verbal “number sense” system and counting skills provide two critical foundations for the development of arithmetic. Studies of children with Down syndrome suggest that the development of both these foundational skills present difficulties for them, though these conclusions are based on relatively small samples of children. It would seem that further studies of arithmetic and number skills in children with Down syndrome, involving larger samples of children and broader ranges of measures, are badly needed.
很明显,算术和数字技能是唐氏综合症患者特别困难的领域。对正常发育儿童算术发展的研究表明,语言前的“数感”系统和计数技能为算术发展提供了两个重要的基础。对患有唐氏综合症的儿童的研究表明,这两项基本技能的发展对他们来说都是困难的,尽管这些结论是基于相对较小的儿童样本。似乎迫切需要进一步研究唐氏综合症儿童的算术和数字技能,包括更大的儿童样本和更广泛的测量范围。
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引用次数: 31
The development of literacy skills in children with Down syndrome: Implications for intervention 唐氏综合症儿童读写能力的发展:干预的意义
M. Snowling, Hannah M Nash, Lisa M Henderson
The cognitive profile observed in Down syndrome is typically uneven with stronger visual than verbal skills, receptive vocabulary stronger than expressive language and grammatical skills, and often strengths in reading abilities. However, there is considerable variation across the population of children with Down syndrome. We begin by outlining some of the methodological issues that surround research on literacy development in Down syndrome before surveying what is known about literacy and literacy-related skills. We proceed to review interventions to promote reading in school-age children with Down syndrome and conclude with directions for future research.
唐氏综合症患者的认知特征通常是不均衡的,视觉能力强于口头表达能力,接受性词汇能力强于表达性语言和语法能力,通常在阅读能力方面有优势。然而,在患有唐氏综合症的儿童人群中存在相当大的差异。我们首先概述了围绕唐氏综合症扫盲发展研究的一些方法学问题,然后调查了关于扫盲和扫盲相关技能的已知情况。我们继续回顾促进唐氏综合症学龄儿童阅读的干预措施,并对未来的研究方向进行总结。
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引用次数: 34
Development in practice - Speech and language activities for preschool children with Down syndrome 实践中的发展——学龄前唐氏综合症儿童的言语和语言活动
Leela Baksi, Kate Freeman
Two reviews of a new video resource that explains and demonstrates activities for promoting communication, speech and language development for preschool children with Down syndrome.
一个新的视频资源的两篇评论,该资源解释和演示了促进唐氏综合症学龄前儿童沟通、言语和语言发展的活动。
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引用次数: 0
Down but not out: a tool for inclusion 下而不出:一个包容的工具
J. Rix
A new film offers practical advice and guidance for teachers, classroom assistants and families. Available on DVD, it presents views on classroom practice and effective inclusion, with examples of children at work and at play in UK schools.
一部新电影为教师、助教和家庭提供了实用的建议和指导。这本书有DVD版本,介绍了课堂实践和有效包容的观点,并以英国学校里孩子们工作和玩耍的例子为例。
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引用次数: 0
期刊
Down's syndrome, research and practice : the journal of the Sarah Duffen Centre
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