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Limitlessness of human potential: Grit 人类潜能的无限:勇气
Pub Date : 2018-12-20 DOI: 10.4172/2375-4494-C2-008
pKanan Khatau Chikhalp
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引用次数: 0
Looking through a social constructivist lens to identify social and cultural factors influencing nursing in the UAE 通过社会建构主义的视角来识别影响阿联酋护理的社会和文化因素
Pub Date : 2018-12-20 DOI: 10.4172/2375-4494-C2-009
pBriliya Devadasp
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引用次数: 0
How the administration of self-questionnaires may help refer a mentally ill patient to the most appropriate therapist 自我调查问卷的管理如何有助于将精神病患者转介给最合适的治疗师
Pub Date : 2018-11-22 DOI: 10.4172/2375-4494-C1-004
pJoel Gailledreaup
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引用次数: 0
Sleep Related Breathing Disorders in Children with Epilepsy - A Case Series 癫痫患儿睡眠相关呼吸障碍-病例系列
Pub Date : 2018-04-10 DOI: 10.4172/2375-4494.1000372
M. Gulisano, R. Rizzo
The prevalence of sleep related breath disorders (SRBDs) in children affected by epilepsy is debatable. While some authors did not report any difference in the rate of SRBD between children with epilepsy and the healthy population, other authors reported a statistically higher incidence in children with epilepsy. SRBDs affect 0.7-3% of children in the general pediatric population, and the prevalence of SRBD reported in children with epilepsy is 6-80%, including sleep breathing disorders in 20-80% and obstructive sleep apnea in 6-60%. A widely used and validated instrument to evaluate SRBDs is the Pediatric Sleep Questionnaire (PSQ), developed by Chervin et al. in 2000 [1]. This is a 22-item parent-completed questionnaire with a sensitivity of 81% and specificity of 87% for the diagnosis of SRBDs, with a suggested cut-off of ≥0.33. Moreover, the PSQ is able to identify symptoms related to poor quality of sleep, such as day time sleepiness (≥2 of 4 symptoms reported in items B1, B2, B4, B6) and ADHD symptoms (≥3 of 6 symptoms reported in items C3, C5, C8, C10, C14, C18) [2].
癫痫患儿中睡眠相关呼吸障碍(srbd)的患病率存在争议。虽然一些作者没有报道癫痫儿童和健康人群的SRBD发病率有任何差异,但其他作者报道癫痫儿童的发病率在统计上更高。SRBD影响了普通儿科人群中0.7-3%的儿童,癫痫患儿中SRBD的患病率为6-80%,包括20-80%的睡眠呼吸障碍和6-60%的阻塞性睡眠呼吸暂停。Chervin等人于2000年开发的儿童睡眠问卷(children Sleep Questionnaire, PSQ)是一种被广泛使用并得到验证的评估srbd的工具[1]。这是一份由父母填写的22项问卷,诊断srbd的敏感性为81%,特异性为87%,建议截断值≥0.33。此外,PSQ能够识别与睡眠质量差相关的症状,如白天嗜睡(在B1、B2、B4、B6项中报告的4种症状中≥2种)和ADHD症状(在C3、C5、C8、C10、C14、C18项中报告的6种症状中≥3种)[2]。
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引用次数: 0
Genotype-Phenotype Correlates in Fragile X Syndrome 基因型-表型与脆性X综合征相关
Pub Date : 2018-02-28 DOI: 10.4172/2375-4494.1000368
E. Zaky
Fragile X syndrome is a genetic disorder that affects both males and females but males are more severely affected than females. It is characterized by intellectual and learning disabilities, behavioral and or psychiatric comorbidities, mildly dysplastic connective tissue, and large testes. Fragile X cases have more than 200 repeats of the trinucleotide CGG at a fragile locus of the X chromosome (Xq27.3) which affords the basis of the molecular diagnosis of the syndrome. Although there is no current curative treatment of Fragile X syndrome, there are many available therapeutic modalities that can be used to control its manifestations and improve the quality of life of its sufferers. Lastly but by no means least, it is well documented that the earlier the diagnosis and implementation of early intervention and individualized rehabilitation programs, the better the prognosis.
脆性X染色体综合征是一种遗传性疾病,男性和女性都会受到影响,但男性比女性受影响更严重。其特征是智力和学习障碍,行为和/或精神合并症,轻度发育不良的结缔组织和大睾丸。脆性X病例在X染色体脆弱位点(Xq27.3)有超过200个重复的三核苷酸CGG,这为该综合征的分子诊断提供了基础。虽然目前还没有治愈脆性X综合征的方法,但有许多可用的治疗方法可以用来控制其表现并改善患者的生活质量。最后但并非最不重要的是,有充分的证据表明,越早诊断和实施早期干预和个性化康复计划,预后越好。
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引用次数: 0
Intervention Approaches for Children with Autism Spectrum Disorder (ASD) and Attention Hyperactivity Disorder (ADHD): Review of Research between 2013 and 2017 自闭症谱系障碍(ASD)和注意力多动障碍(ADHD)儿童的干预方法:2013 - 2017年研究综述
Pub Date : 2018-02-28 DOI: 10.4172/2375-4494.1000369
Neni Widiasmoro Selamat, Yogeswari Renganathan, Sairah Abdul Karim
This review focusing on studies on autism spectrum disorder (ASD) and attention disorder hyperactivity disorder (ADHD), which consists of assessment and intervention on three main domains; neuropsychological (cognitive), social interaction and behavioral problems. Majority of the studies reviewed used non-randomized control studies which involves mostly children, some adolescence and few adults, who are diagnosed as either ASD, ADHD or ASD +ADHD. The outcome of these studies mostly shows positive results in improving autism symptom such as cognitive skills impairment, social interaction dysfunctions between child and parents and behavioral problem. Children with ASD that undergone occupational therapy using sensory integration needed less caregiver assistance during selfcare and social activities. Pivotal Response Treatment (PRT) challenges the child to improve communication and increased parental self-efficacy. Social skills training (SST) promote social competence and friendship and decreasing feelings of loneliness. Animal companionship increases alertness and attention in human, which might promote enhance concentration and task persistence and promote calming effect in children suffering from ADHD. Mind-Body Therapies showed positive results in mental and emotional health and decreased in behavioral problems in children with ASD. In parent -mediated early intervention for children with ASD, children’s language, adaptive skills and parents stress showed no significance change. Despite of small to medium improvement, there were little scientific evidence of effectiveness of each type of intervention that could be suggested as best suited therapy for children with ASD and ADHD. Therefore, it was suggested to have standardized training technique as a promising area for future research along with continuous monitoring is needed in the long term to see the results in these children.
本文综述了自闭症谱系障碍(ASD)和注意力障碍多动障碍(ADHD)的研究,主要包括三个方面的评估和干预;神经心理(认知)、社会互动和行为问题。回顾的大多数研究采用非随机对照研究,主要涉及儿童,一些青少年和少数成年人,他们被诊断为ASD, ADHD或ASD +ADHD。这些研究结果大多在改善自闭症症状如认知技能障碍、儿童与父母之间的社会互动障碍和行为问题方面显示出积极的效果。接受感觉统合职业治疗的自闭症儿童在自我照顾和社交活动中需要较少的照顾者帮助。关键反应治疗(PRT)挑战儿童改善沟通和增加父母的自我效能。社交技能训练(SST)促进社交能力和友谊,减少孤独感。动物陪伴可以提高人类的警觉性和注意力,这可能会提高注意力集中和任务持久性,并促进多动症儿童的镇静作用。身心疗法在ASD儿童的心理和情绪健康方面显示出积极的效果,并减少了行为问题。在父母介入的早期干预中,儿童的语言、适应技能和父母压力无显著变化。尽管有小到中等程度的改善,但几乎没有科学证据证明每种干预措施的有效性,这些干预措施可以被建议为最适合治疗ASD和ADHD儿童的方法。因此,建议将标准化训练技术作为未来研究的一个有前景的领域,同时需要长期持续监测以观察这些儿童的结果。
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引用次数: 1
Teaching and Learning Vocabulary: Insights from Learning Styles and Learning Theories 教学与学习词汇:来自学习方式和学习理论的见解
Pub Date : 2018-02-16 DOI: 10.4172/2375-4494.1000370
Ahmed Alduais
Learning styles like (Visual, Auditory, Kinaesthetic) as in the VAK theory and (Visual, Auditory, Read/Write, Kinaesthetic) as in VARK, and the Mind Styles Model (i.e. concrete vs. abstract perceptual abilities and sequential vs. random ordering abilities)—propose in one way or another individualisation of education (i.e. mainly here learning and teaching languages as in TESL and TEFL). Similarly, learning theories propose different interpretations for the system of learning as in (behaviourism, constructivism, cognitivism, social psychology, and connectionism)— through which learning and teaching should take place. Five models were proposed approaching these issues with the first model for the vocabulary system (i.e. form aspect(s), meaning aspect(s), and distribution aspect(s), the second model for integration of learning theories and five types of aids (visual, audio, audio-visual, action and multimedia aids), the third, fourth and fifth models for three learning styles’ theories (i.e. VAK, VARK, and the Mind Styles Model). Given that my approach was only based on my designed models inspired by the original theories, conclusions included that experimental and behavioural based evidence is needed to give credibility for the effectiveness of using learning styles towards more effective teaching of vocabulary. With this in mind, it was proposed that learning styles could be used as indicators other than reliable and valid diagnostic tools for he learners’ preferences-helping teachers to consider the use of as many as possible of the five introduced types of aids while teaching vocabulary-enhancing the implications from the learning theories, too.
学习风格,如VAK理论中的(视觉、听觉、动觉)和VARK中的(视觉、听觉、读/写、动觉),以及思维风格模型(即具体与抽象的感知能力和顺序与随机排序能力),都以一种或另一种方式提出了教育的个性化(即主要在这里学习和教授语言,如TESL和TEFL)。同样,学习理论对学习系统提出了不同的解释,如(行为主义、建构主义、认知主义、社会心理学和联系主义)——学习和教学应该通过这些系统进行。针对这些问题,提出了五个模型,第一个模型用于词汇系统(即形式方面、意义方面和分布方面),第二个模型用于学习理论和五种类型的辅助工具(视觉、音频、视听、动作和多媒体辅助工具)的整合,第三、第四和第五个模型用于三种学习风格的理论(即VAK、VARK和思维风格模型)。鉴于我的方法只是基于受原始理论启发而设计的模型,结论包括需要实验和基于行为的证据来证明使用学习风格来更有效地教授词汇的有效性。考虑到这一点,有人提出学习风格可以作为学习者偏好的指示器,而不是可靠和有效的诊断工具——帮助教师在教授词汇时考虑尽可能多地使用五种引入的辅助工具——也增强了学习理论的含义。
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引用次数: 2
The Large Effect Size of Urinary Total Antioxidant Capacity in Behavioral Symptoms of Young Autistic Individuals: Comparion with Omega-3 Fatty Acid and Superoxide Dismutase in Plasma 尿总抗氧化能力在青少年自闭症行为症状中的大效应量:与血浆中Omega-3脂肪酸和超氧化物歧化酶的比较
Pub Date : 2018-02-10 DOI: 10.4172/2375-4494.1000367
K. Yui, H. Sasaki, N. Tanuma, Y. Kawasaki
Objective: The imbalance between increased oxidative stress and reduced antioxidant defense has been implicated in the pathophysiology of autism spectrum disorders (ASD). Which of these has a greater impact on ASD behavioral symptoms is still unclear. We measured urinary levels of the oxidative stress biomarker hexanoyl-lysine (HEL), the total antioxidant capacity (TAC) and the DNA methylation biomarker 8-hydroxy-2′-deoxyguanosine (8- OHdG) and their relation to the plasma levels of the oxidative stress biomarker superoxide dismutase (SOD) and of the anti-inflammatory fatty acid eicosapentaenoic acid (EPA). Methods: We studied the relationships between these biomarkers and behavioral symptoms in 19 individuals with ASD (mean age 10.9 ± 5.3 years) and 11 healthy controls (mean age 14.3 ± 6.3 years). Behavioral symptoms were evaluated using the Aberrant Behavior Checklist (ABC). Results: Ages were not significant difference between two groups. The ASD group showed significantly reduced levels of urinary TAC and significantly increased levels of urinary HEL compared to the control group. Urinary 8- OHdG levels or plasma SOD and EPA levels were not significantly different between the two groups. The ABC subscale and total scores were significantly higher in the ASD group had significantly higher ABC subscale and total scores than he control group. Stepwise regression analysis and the standardized regression coefficient indicated that urinary TAC levels provided greater impact for distinguishing the two groups. There was significant correlation between the urinary TAC levels and plasma EPA levels and the ABC irritability scores. Conclusion: Urinary TAP levels may be important in the imbalance between the urinary levels of HEL and TAC, and altered plasma SOD levels may contribute to this imbalance.
目的:氧化应激增加和抗氧化防御减少之间的不平衡与自闭症谱系障碍(ASD)的病理生理有关。其中哪一种对ASD行为症状的影响更大尚不清楚。我们测量了尿中氧化应激生物标志物己醇酰赖氨酸(HEL)、总抗氧化能力(TAC)和DNA甲基化生物标志物8-羟基-2′-脱氧鸟苷(8- OHdG)的水平,以及它们与血浆中氧化应激生物标志物超氧化物歧化酶(SOD)和抗炎脂肪酸二十碳五烯酸(EPA)水平的关系。方法:对19例ASD患者(平均年龄10.9±5.3岁)和11例健康对照(平均年龄14.3±6.3岁)的这些生物标志物与行为症状的关系进行研究。使用异常行为检查表(ABC)评估行为症状。结果:两组患者年龄差异无统计学意义。与对照组相比,ASD组尿TAC水平显著降低,尿HEL水平显著升高。尿8- OHdG水平或血浆SOD和EPA水平在两组之间无显著差异。ASD组ABC量表和总分均显著高于对照组,ABC量表和总分均显著高于对照组。逐步回归分析和标准化回归系数表明尿TAC水平对两组的区分有较大影响。尿TAC水平和血浆EPA水平与ABC烦躁评分有显著相关性。结论:尿TAP水平可能在尿HEL和TAC水平失衡中起重要作用,血浆SOD水平的改变可能导致这种失衡。
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引用次数: 0
A Descriptive Study to Assess the Level of Internet Addiction among Adolescents: A Case Study of High Schools in Mangalore 青少年网络成瘾水平的描述性研究:以芒格洛尔高中为例
Pub Date : 2018-01-01 DOI: 10.4172/2375-4494.1000378
B. Kayastha, Ashmita Gurung, R. Chawal
Adolescents are more vulnerable to internet addiction (IA) as they have less ability to control their enthusiasm for internet activities. In this study, a descriptive approach was used to assess the level of IA and its impact among high school students. A conceptual framework was based on Roy’s Adaptation Model. The tool consisted of a baseline proforma, a modified form of IA test and a structured questionnaire developed during the study. Those tools were employed to assess the level of IA and its impact among adolescents of English medium high schools. Opinions from fourteen experts were used to modify the tools for the validity. The reliability of the tool was determined by using a split half technique. The reliability was measured by Karl Pearson’s coefficient correlation and was found to be reliable. The study revealed that majority (70.5%) of the adolescents were normal users, 23% had a mild addiction, 6% had a moderate addiction and 0.5% had a severe addiction. The majority (73%) of samples had a mild impact, 16.5% had a moderate impact, and 10.5% had no impact. Some of their demographic variables like age, class, and occupation of fathers have significant associations with both IA and impact of IA.
青少年更容易患上网络成瘾(IA),因为他们没有能力控制自己对网络活动的热情。在本研究中,采用描述性的方法来评估高中学生的IA水平及其影响。一个概念框架是基于罗伊的适应模型。该工具包括基线形式、改进形式的IA测试和研究期间开发的结构化问卷。这些工具被用来评估英语中等高中青少年的IA水平及其影响。采用14位专家的意见对工具进行效度修正。该工具的可靠性是通过使用劈开半技术来确定的。通过卡尔·皮尔森相关系数测量信度,发现信度是可靠的。研究显示,大多数青少年(70.5%)是正常用户,23%有轻度成瘾,6%有中度成瘾,0.5%有严重成瘾。大多数(73%)的样本有轻度影响,16.5%有中度影响,10.5%没有影响。一些人口统计学变量,如父亲的年龄、阶级和职业,与IA和IA的影响都有显著的关联。
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引用次数: 13
Attachment Styles: Fear of Compassion and Callous-Unemotional Traits among Juvenile Delinquents 依恋类型:少年犯的同情恐惧和冷酷无情特征
Pub Date : 2018-01-01 DOI: 10.4172/2375-4494.1000371
Khairuzaman Maziatul Akmal, A. Foong
Literature on adolescent delinquency indicated strong family bonds acted as protective factors against delinquent behaviors, hence brings significance to study attachment styles. The purpose of the present study is to determine the relationship between Fear of compassion and then, Callous-unemotional traits in relation to attachment styles. The study further examined the relationship between Fear of compassion and Callous-unemotional traits. A purposive sample of 177 adolescents in detention centers were assessed using a Relationship Questionnaire with Fear of Compassion Scale and Inventory of Callous-unemotional Traits - Youth. Findings of the study indicated Fear of compassion is not significant in relation to attachment styles. However, Callous-unemotional traits were significantly related to attachment styles. Additionally, Fear of Compassion suggested predictive value to Callousunemotional traits. The study provides a contextual perspective on the importance of attachments styles in the wider context of familial relationships for adolescents.
有关青少年犯罪的文献表明,牢固的家庭纽带对青少年犯罪行为具有保护作用,因此对依恋类型的研究具有重要意义。本研究的目的是确定同情心恐惧和冷漠特质与依恋类型之间的关系。该研究进一步调查了害怕同情和冷酷无情特质之间的关系。本研究以177名在押青少年为研究对象,采用“同情恐惧量表”和“青少年冷酷无情特质量表”的关系问卷进行评估。研究结果表明,同情恐惧与依恋类型的关系不显著。然而,冷酷无情特质与依恋类型显著相关。此外,对同情的恐惧对冷酷无情的特征具有预测价值。该研究为依恋类型在青少年家庭关系的更广泛背景下的重要性提供了一个语境视角。
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引用次数: 5
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Journal of child and adolescent behavior
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